Individual
DR. SOUMYA MAHAPATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
660 S EUCLID AVE, C B 8054, SAINT LOUIS, MO 63110-1010
(314) 362-6978
(314) 747-4284
Mailing address
660 S EUCLID AVE, C B 8054, SAINT LOUIS, MO 63110-1010
(314) 362-6978
(314) 747-4284
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
2008019269
MO
Other
Enumeration date
09/04/2008
Last updated
06/07/2013
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