Individual
DR. KRISHNASAMY SAVADAMUTHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5471 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112-4265
(314) 367-5820
(314) 367-7010
Mailing address
5471 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112-4265
(314) 367-5820
(314) 367-7010
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2012003502
MO
208000000X
Pediatrics Physician
20720
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036065321
—
IL
05
—
1276287
—
IA
Enumeration date
01/12/2006
Last updated
03/18/2016
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