Organization
AMALAKUMAR D. AUGUSTINE, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMALAKUMAR D AUGUSTINE MD (PRESIDENT)
(314) 469-2182
Entity
Organization
Contact information
Practice address
224 S WOODS MILL RD, STE. 670 SOUTH, CHESTERFIELD, MO 63017-3451
(314) 469-2182
(314) 469-5725
Mailing address
224 S WOODS MILL RD, STE. 670 SOUTH, CHESTERFIELD, MO 63017-3451
(314) 469-2182
(314) 469-5725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE5589
RAILROAD MEDICARE
—
Enumeration date
12/21/2005
Last updated
04/15/2013
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