Individual
DR. MADHURI SUBBAIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 JEFFERSON BARRACKS DR, ATT: 11F10-JB, SAINT LOUIS, MO 63125-4181
(314) 894-5770
Mailing address
1 JEFFERSON BARRACKS DR, ATT: 11F10-JB, SAINT LOUIS, MO 63125-4181
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MO2000154891
MO
Other
Enumeration date
04/03/2006
Last updated
07/10/2007
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