Individual
DR. VIVEK AGNIHOTRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12401 OLIVE BLVD STE 100, CREVE COEUR, MO 63141-5448
(314) 627-1399
(314) 380-2417
Mailing address
12401 OLIVE BLVD STE 100, CREVE COEUR, MO 63141-5448
(314) 627-1399
(314) 380-2417
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
2009003411
MO
Other
Enumeration date
09/17/2006
Last updated
09/09/2016
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