Individual
MRS. KIRANMAYE TIRIVEEDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 437-A, SAINT LOUIS, MO 63141-8232
(314) 251-3880
(314) 251-3885
Mailing address
621 S NEW BALLAS RD, SUITE 437-A, SAINT LOUIS, MO 63141-8232
(314) 251-3880
(314) 251-3885
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2009013987
MO
Other
Enumeration date
02/07/2007
Last updated
06/08/2010
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