Individual
ABHAY ATUL LADDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 MEDICAL PLZ STE 150, LAKE ST LOUIS, MO 63367-1483
(636) 625-2662
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2006024360
MO
Other
Enumeration date
03/05/2007
Last updated
12/08/2021
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