Individual
MADHURA G JOAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 257-8222
(314) 257-8221
Mailing address
110 N NEWSTEAD AVE APT 104, SAINT LOUIS, MO 63108-2268
(305) 972-7872
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2019038128
MO
207R00000X
Internal Medicine Physician
267638
MA
208M00000X
Hospitalist Physician
Primary
2019038128
MO
Other
Enumeration date
06/13/2016
Last updated
05/09/2024
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