Individual
TINA KHOSLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3635 VISTA AVE, EMERGENCY MEDICINE, SAINT LOUIS, MO 63110-2539
(314) 577-8777
Mailing address
3635 VISTA AVE, EMERGENCY MEDICINE, SAINT LOUIS, MO 63110-2539
(314) 577-8777
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2009017002
MO
Other
Enumeration date
07/13/2009
Last updated
01/04/2011
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