Individual
SWAROOP SHANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11133 DUNN RD STE 2427, SAINT LOUIS, MO 63136-6163
(314) 653-5643
Mailing address
11133 DUNN RD STE 2427, SAINT LOUIS, MO 63136-6163
(314) 653-5643
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2023018525
MO
207R00000X
Internal Medicine Physician
263792
MA
207R00000X
Internal Medicine Physician
D84678
MD
208M00000X
Hospitalist Physician
Primary
2023018525
MO
208M00000X
Hospitalist Physician
D84678
MD
Other
Enumeration date
07/20/2015
Last updated
11/17/2023
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