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Individual

DR. K. GEORGE THAMPY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10004 KENNERLY RD, SUITE 160B, SAINT LOUIS, MO 63128-2141
(314) 842-1588
(314) 543-5298
Mailing address
10004 KENNERLY RD, SUITE 160B, SAINT LOUIS, MO 63128-2141
(314) 842-1588
(314) 543-5298

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
112762
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110235730
RAILROAD MEDICARE
MO
01
11843
ESSENCE
MO
01
157742
BLUE SHIELD OF MO -EDMC
MO
01
160098
BLUE SHIELD OF MISSOURI
MO
01
2011289
FIRST HEALTH
MO
05
205794100
MO
01
2205302
UNITED HEALTH CARE
MO
01
4655094
CIGNA
MO
01
486623
HEALTHLINK
MO
01
7506235
AETNA
MO
Enumeration date
01/19/2006
Last updated
04/21/2020
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