Individual
DR. SUNITA N MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 JEFFERSON BARRACKS DR, VA HEARTLAND- EAST, VISN 15, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Mailing address
1 JEFFERSON BARRACKS DR, VA HEARTLAND-EAST, VISN 15, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MO2002014282
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00320068
RAILROAD MEDICARE
MO
Enumeration date
08/16/2005
Last updated
04/30/2013
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