Individual
SURAJ SHANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLAZA, SAINT LOUIS, MO 63110-1003
(314) 362-2462
Mailing address
660 S EUCLID AVE MSC 8134-17-2000, ST. LOUIS, MO 63110
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2023024574
MO
Other
Enumeration date
06/20/2023
Last updated
06/22/2023
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