Individual
SITA KEDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
9160 CLAYTON RD, SAINT LOUIS, MO 63124-1874
(314) 801-8898
Mailing address
9160 CLAYTON RD, SAINT LOUIS, MO 63124-1874
(314) 801-8898
(314) 787-4477
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2014010629
MO
2084N0400X
Neurology Physician
Primary
2014010629
MO
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
2014010629
MO
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
48880
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25023578
—
CO
Enumeration date
01/30/2007
Last updated
10/15/2018
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