Individual
DR. DEEPAK KOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACC
Contact information
Practice address
1225 GRAHAM RD STE C-2310, FLORISSANT, MO 63031-8023
(314) 953-6300
Mailing address
1225 GRAHAM RD STE C-2310, FLORISSANT, MO 63031-8023
(314) 953-6300
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036126770
IL
207RC0000X
Cardiovascular Disease Physician
Primary
2010015943
MO
207RI0011X
Interventional Cardiology Physician
036126770
IL
207RI0011X
Interventional Cardiology Physician
2010015943
MO
Other
Enumeration date
07/10/2007
Last updated
03/19/2021
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