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1124260229
THILAK SREENIVASALU
SAINT LOUIS, MO
NPI
1124260229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MO 2014022159)
Enumeration Date
2009-04-03
Last Update Date
2014-08-06
Business Address
Dr. THILAK SREENIVASALU MD
3635 VISTA AVE DESLOGE TOWERS, 3RD FLOOR
SAINT LOUIS, MO 63110-2539
Phone number: 314-268-7267
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Mailing Address
Dr. THILAK SREENIVASALU MD
12400 BENNETT SPRINGS CT APT B
SAINT LOUIS, MO 63146-3945
Phone number: 216-571-6270
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