Individual
DR. SRIKANTH THALAKOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 5009B, SAINT LOUIS, MO 63141-8232
(314) 251-5866
(314) 251-5867
Mailing address
621 S NEW BALLAS RD, SUITE 5009B, SAINT LOUIS, MO 63141-8232
(314) 251-5866
(314) 251-5867
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
2014035206
MO
Other
Enumeration date
05/26/2009
Last updated
10/21/2014
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