Individual
THRIPURA THIRTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
255 SPENCER RD STE 201, SAINT PETERS, MO 63376-2576
(636) 929-2550
Mailing address
25101 CHAGRIN BLVD STE 100, BEACHWOOD, OH 44122-5694
(216) 468-5000
(216) 456-8128
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
125065322
IL
2084P0800X
Psychiatry Physician
Primary
2018015280
MO
Other
Enumeration date
07/01/2014
Last updated
08/10/2023
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