Individual
DR. VIJAY KANNUTHURAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13100 MANCHESTER RD STE 70, SAINT LOUIS, MO 63131-1703
(314) 492-2323
(314) 582-1010
Mailing address
13100 MANCHESTER RD STE 70, SAINT LOUIS, MO 63131-1703
(314) 492-2323
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018019732
MO
207RR0500X
Rheumatology Physician
Primary
2023002174
MO
Other
Enumeration date
06/24/2018
Last updated
01/10/2024
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