Individual
ASHALATHA R TATINENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 1ST CAPITOL DR, SAINT CHARLES, MO 63301-2844
(636) 947-5000
(636) 947-5090
Mailing address
1836 LACKLAND HILL PKWY, ATTN: CREDENTIALING, SAINT LOUIS, MO 63146-3572
(314) 989-0300
(314) 810-1399
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18186
NV
207P00000X
Emergency Medicine Physician
R1B00
MO
207R00000X
Internal Medicine Physician
R1B00
MO
Other
Enumeration date
05/19/2006
Last updated
01/14/2025
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