Individual
NITIN SUKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 BARNES JEWISH PLAZA, ST. LOUIS, MO 63110-3328
(314) 362-2978
Mailing address
660 S EUCLID AVE, CB 8131, ST. LOUIS, MO 63110
(314) 362-5139
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2023016070
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2022
Last updated
06/26/2023
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