Individual
MANIRUL TAMAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 S WOODS MILL RD, CHESTERFIELD, MO 63017-3625
(314) 205-6050
(314) 434-5939
Mailing address
222 S WOODS MILL RD, CHESTERFIELD, MO 63017-3625
(314) 205-6050
(314) 434-5939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2017013699
MO
Other
Enumeration date
06/09/2017
Last updated
07/21/2022
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