Individual
DR. SUSHAMA V PATIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4554 LACLEDE AVE, UNIT 102, SAINT LOUIS, MO 63108-2156
(314) 367-3274
Mailing address
4554 LACLEDE AVE, UNIT 102, SAINT LOUIS, MO 63108-2156
(314) 367-3274
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
2001012063
MO
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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