Individual
DR. KRISHNA PRIYA KALYAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4901 FOREST PARK AVE FL 6, 6TH FL, SAINT LOUIS, MO 63108-1402
(314) 362-3937
(314) 362-3725
Mailing address
660 S EUCLID AVE, C B 8096, SAINT LOUIS, MO 63110-1010
(314) 362-3937
(314) 362-3725
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2016011405
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811259179
—
MO
05
—
ENROLLED
—
IL
Enumeration date
06/13/2012
Last updated
01/24/2018
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