Individual
DR. NEELAVATHI SENKOTTAIYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 460A, SAINT LOUIS, MO 63141-8232
(314) 251-4330
(314) 251-4333
Mailing address
35 BONHOMME RICHARD CT, SAINT CHARLES, MO 63303-1761
(636) 441-4625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2006018427
MO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2006018427
MO
Other
Enumeration date
03/12/2007
Last updated
08/19/2008
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