Individual
DR. SUDEEP THOMAS XAVIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 JEFFERSON BARRACKS DR, VA HEARTLAND-EAST, VISN 15, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Mailing address
1 JEFFERSON BARRACKS DR, VA HEARTLAND-EAST, VISN 15, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2012013864
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2008
Last updated
04/25/2013
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