Individual
TABITHA D'SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
WUSM PEDS, 1 CHILDRENS PL MSC 8116-0043-08, ST LOUIS, MO 63110
(314) 454-4826
(314) 454-4633
Mailing address
WUSM PEDS, 1 CHILDRENS PL MSC 8116-0043-08, ST. LOUIS, MO 63110
(314) 454-4826
(314) 454-4633
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2025022352
MO
Other
Enumeration date
03/16/2019
Last updated
07/27/2025
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