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Individual

NARENDIR T SOORYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5000 CEDAR PLAZA PKWY, SUITE 350, SAINT LOUIS, MO 63128-3854
(314) 843-4333
(314) 843-4856
Mailing address
5000 CEDAR PLAZA PKWY, SUITE 350, SAINT LOUIS, MO 63128-3854
(314) 843-4333
(314) 843-4856

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
33916
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
278079
VALUE OPTIONS
01
404079360054
AETNA
01
4212065868001
ANTHEM BLUE CROSS
01
6902
BLUE CROSS
01
826261058
RAILROAD MEDICARE
01
A10898
MERCY HMO
Enumeration date
07/25/2006
Last updated
10/04/2012
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