Individual
SHIRMILA SYAMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
(314) 317-0600
(314) 317-0606
Mailing address
12125 WOODCREST EXECUTIVE DR, SUITE 220, SAINT LOUIS, MO 63141-5001
(314) 317-0600
(314) 317-0606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2013021420
MO
208M00000X
Hospitalist Physician
2013021420
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851554679
—
MO
Enumeration date
07/02/2008
Last updated
09/03/2013
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