Madhuram LLC

NPI #1144899162 in Saint Louis, Missouri

Provider Information

NPI Number: 1144899162
Entity Type: Organization
Organization Name: Madhuram LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 23, 2021
Last Updated: Jun 23, 2021

Practice Location

Address: 3915 WATSON RD STE 100
City: Saint Louis
State: Missouri
ZIP Code: 63109-1251
Phone: (314) 881-0300

Authorized Official

Name: KAMLESH VYAS, MD
Title: OWNER
Phone: (314) 881-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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