Individual
ANNU A. TERKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3555 SUNSET OFFICE DR, STE. C, SAINT LOUIS, MO 63127-1015
(314) 238-9100
(314) 238-9110
Mailing address
10777 SUNSET OFFICE DR, STE. 310, SAINT LOUIS, MO 63127-1019
(314) 822-5900
(314) 822-5919
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
105686
MO
207R00000X
Internal Medicine Physician
Primary
105686
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H51584
UPIN NUMBER
MS
Enumeration date
05/19/2006
Last updated
09/20/2010
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