Individual
SANKET SRINIVASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL STE 8C, SAINT LOUIS, MO 63110-1032
(314) 747-0410
Mailing address
660 S EUCLID AVE, CAMPUS BOX 8109, SAINT LOUIS, MO 63110
(314) 747-0410
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2019011878
MO
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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