Individual
SIRI KOMMAREDDY-SLOANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6090
(314) 251-1601
Mailing address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6090
(314) 251-1601
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2020012027
MO
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
2020012027
MO
Other
Enumeration date
03/30/2017
Last updated
05/15/2024
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