Individual provider · NPI-1

Shraddha Kiran Adwalpalker

Physical Medicine & Rehabilitation · Saint Louis, MO

NPI number1093480022
StatusActive
Last updated in NPPESAug 11, 2021

Details

NPI
1093480022
Entity type
Individual (NPI-1)
Name
Shraddha Kiran Adwalpalker
Sex
Female
Sole proprietor
No
Enumeration date
Aug 11, 2021
Certification date
Aug 11, 2021
Last updated
Aug 11, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & Rehabilitation2017014327MOYes

Practice location

11160 Village North Dr
Saint Louis, MO 63136-6159

Phone 618-250-9073

Mailing address

205 Ashley Pl Apt 8
Edwardsville, IL 62025-3541

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