Organization
NINA CORPORATION
Active
Other names
Eye Center oF Missouri
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAMLAL TEKWANI MD (PRESIDENT)
(314) 771-3000
Entity
Organization
Contact information
Practice address
3535 S JEFFERSON AVE STE S4, SAINT LOUIS, MO 63118-3900
(314) 771-3000
(314) 771-4094
Mailing address
3535 S JEFFERSON AVE STE S4, SAINT LOUIS, MO 63118-3900
(314) 771-3000
(314) 771-4094
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500479407
—
MO
01
—
DE0954
RR MDC
MO
Enumeration date
09/19/2006
Last updated
07/21/2022
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