Individual
SUKANTI RAIKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
920 BELLERIVE MANOR DR, CREVE COEUR, MO 63141-6094
(314) 434-6841
Mailing address
920 BELLERIVE MANOR DR, CREVE COEUR, MO 63141-6094
(314) 434-6841
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.063732
IL
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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