Organization
PAUL SELVADURAI INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARLENE BYRD (OFFICE MANAGER)
(314) 647-5300
Entity
Organization
Contact information
Practice address
6651 CHIPPEWA ST, SUITE 214, SAINT LOUIS, MO 63109-2538
(314) 647-5300
(314) 647-1996
Mailing address
6651 CHIPPEWA ST, SUITE 214, SAINT LOUIS, MO 63109-2538
(314) 647-5300
(314) 647-1996
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A59661504
ZZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200352607
—
MO
Enumeration date
09/15/2010
Last updated
09/21/2010
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