Individual
TONY KASIDET HIRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
621 S NEW BALLAS RD STE 3019B, SAINT LOUIS, MO 63141-8267
(314) 509-5305
(314) 251-4454
Mailing address
621 S NEW BALLAS RD STE 3019B, SAINT LOUIS, MO 63141-8267
(314) 509-5305
(314) 251-4454
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2024020622
MO
Other
Enumeration date
04/03/2024
Last updated
06/14/2024
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