Individual
DR. SHUDDHADEB RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11155 DUNN RD, DIV SURG CT ADULT CARDIO, STE 209E, SAINT LOUIS, MO 63136-6150
(314) 355-3003
(314) 355-0515
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 355-3003
(314) 355-0515
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2013032978
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200071144
—
MO
Enumeration date
06/24/2011
Last updated
05/28/2025
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