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1205983368
PATHMA T RAMESVARA
BRIDGETON, MO
NPI
1205983368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MO R6A99)
Enumeration Date
2007-01-04
Last Update Date
2007-07-09
Business Address
-- PATHMA T RAMESVARA MD
12303 DE PAUL DR
BRIDGETON, MO 63044-2512
Phone number: 314-344-6000
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Mailing Address
-- PATHMA T RAMESVARA MD
1836 LACKLAND HILL PKWY ATTN CREDENTIALING DEPARTMENT
SAINT LOUIS, MO 63146-3572
Phone number: 314-989-0300
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