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Individual

UMESH C. INAMPUDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 MEDICAL PLZ, LAKE ST LOUIS, MO 63367-1366
(314) 317-0600
(314) 317-0606
Mailing address
12101 WOODCREST EXECUTIVE DR, SUITE 210, SAINT LOUIS, MO 63141-5047
(314) 317-0600
(314) 317-0606

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2006026278
MO
208M00000X
Hospitalist Physician
2006026278
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1427121227
MO
Enumeration date
11/17/2006
Last updated
05/08/2014
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