Individual
PAVITHRA SAIKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
ONE GRAND BOULEVARD, ST. LOUIS, MO 63103-3124
(512) 998-3001
Mailing address
ONE GRAND BOULEVARD, ST. LOUIS, MO 63103-3124
(512) 998-3001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
94-09600
KY
Other
Enumeration date
06/12/2018
Last updated
08/17/2021
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