Organization
PADMINI CHARLES MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PADMINI CHARLES M.D., P.C. (PRESIDENT)
(636) 937-8989
Entity
Organization
Contact information
Practice address
1400 HIGHWAY 61, JMH MOC G40, FESTUS, MO 63028-4100
(636) 937-8989
(636) 933-2962
Mailing address
1400 HWY 61 SOUTH G60, JMH MOC SOUTH, FESTUS, MO 63028-4143
(636) 937-8989
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R6353
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200335107
—
MO
Enumeration date
08/26/2008
Last updated
01/26/2010
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