Individual
DR. HARI H DIWAKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 1ST CAPITOL DR STE 201, SAINT CHARLES, MO 63301-2882
(636) 669-2332
(636) 669-2401
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-2551
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
108324
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205924400
—
MO
Enumeration date
03/27/2006
Last updated
10/21/2020
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