Individual
MS. PADMINI CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
180 INDUSTRIAL DR, FESTUS, MO 63028
(636) 937-8989
Mailing address
180 INDUSTRIAL DR, FESTUS, MO 63028
(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
03/16/2006
Last updated
03/07/2013
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