Individual
THARIKA SHRADDHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(484) 724-3415
Mailing address
3949 LINDELL BLVD APT 3050, SAINT LOUIS, MO 63108-3281
(484) 724-3415
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MT222480
PA
Other
Enumeration date
07/15/2021
Last updated
07/24/2024
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