| NPI | 1659869857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAYA N VASUDEVAN Owner/Physician 636-206-6022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2022-04-07 |