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Individual

MANISH SUTHAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13710 OLIVE BLVD, CHESTERFIELD, MO 63017-2602
(314) 469-7246
(314) 469-7251
Mailing address
13710 OLIVE BLVD, CHESTERFIELD, MO 63017-2602
(314) 469-7246
(314) 469-7251

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
103749
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00010977
RAILROAD MEDICARE
MO
Enumeration date
10/27/2006
Last updated
09/04/2013
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