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Individual

CHANDRA S KAUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1224 GRAHAM ROAD, STE 2006, FLORISSANT, MO 63031-8078
(314) 830-5233
(314) 830-5225
Mailing address
1224 GRAHAM ROAD, STE 2006, FLORISSANT, MO 63031-8028
(314) 830-5233
(314) 830-5225

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
33285
MO

Other

Enumeration date
09/01/2006
Last updated
07/08/2007
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