Individual
DR. SIVASHANMUGAM RAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS, MS(ORTHO)
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 678-2180
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 678-2180
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2017018300
MO
Other
Enumeration date
08/12/2013
Last updated
02/10/2021
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