Individual
DR. SHIVANI VIKRAM TRIPATHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4901 FOREST PARK AVE, DIV IM DERMATOLOGY, STE 502, SAINT LOUIS, MO 63108-1495
(314) 273-3376
(314) 454-4232
Mailing address
660 S EUCLID AVE, CB 8123, SAINT LOUIS, MO 63110-1010
(314) 362-2643
(314) 747-8693
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2014025280
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200062776
—
MO
Enumeration date
05/24/2011
Last updated
11/15/2021
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