Organization
ST LOUIS HILLS UROLOGICAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JITENDRA PRANLAL SHAH M.D. (PRESIDENT)
(314) 849-2735
Entity
Organization
Contact information
Practice address
10004 KENNERLY RD, SUITE 360, SAINT LOUIS, MO 63128-2141
(314) 849-2735
(314) 849-2736
Mailing address
10004 KENNERLY RD, SUITE 360, SAINT LOUIS, MO 63128-2141
(314) 849-2735
(314) 849-2736
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35207
MO
Other
Enumeration date
09/15/2006
Last updated
08/22/2020
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