Organization
PHYSICIAN SERVICES AND CONSULTING, LLC
Active
Other names
Chesterfield Bariatric Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPU SUDHAKARAN MD (PRESIDENT)
(314) 412-4430
Entity
Organization
Contact information
Practice address
10004 KENNERLY RD STE 295B, SAINT LOUIS, MO 63128-2177
(314) 500-2424
Mailing address
PO BOX 66738 # 19038, ST LOUIS, MO 63166
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/28/2016
Last updated
10/02/2024
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