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Organization

AMBULATORY ANESTHESIA SERVICES OF ST. CHARLES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KRISHNA KANAKADANDILA M.D. (MANAGER)
(636) 346-6051
Entity
Organization

Contact information

Practice address
4203 S CLOVERLEAF DR, SAINT PETERS, MO 63376-6452
(636) 346-6051
Mailing address
13523 BARRETT PARKWAY DR, SUITE 210, BALLWIN, MO 63021-3802
(314) 775-2816
(314) 775-2821

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
12/05/2007
Last updated
12/07/2007
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