Charles H Tadros, Md, LLC

NPI #1013257021 in Kirkwood, Missouri

Provider Information

NPI Number: 1013257021
Entity Type: Organization
Organization Name: Charles H Tadros, Md, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ST. LUKE'S MEDICAL GROUP
Primary Specialty: Internal Medicine
Enumeration Date: Feb 28, 2013
Last Updated: Feb 28, 2013

Practice Location

Address: 461 S KIRKWOOD RD
City: Kirkwood
State: Missouri
ZIP Code: 63122-6119
Phone: (314) 965-1513

Authorized Official

Name: MR. RICK SONNE
Title: EXECUTIVE DIRECTOR
Phone: (314) 576-2490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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