SHYAM S IVATURI

SAINT LOUIS, MO
NPI1881682904
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: MO  2001006095)
Additional Taxonomies207RC0200X Internal Medicine, Critical Care Medicine
(Licence: MO  2001006095)
Enumeration Date2005-10-12
Last Update Date2024-04-16
Business Address
SHYAM S IVATURI M.D.
12700 SOUTHFORK RD STE 280
SAINT LOUIS, MO 63128-3287
Phone number: 314-892-6565
Mailing Address
SHYAM S IVATURI M.D.
12700 SOUTHFORK RD STE 280
SAINT LOUIS, MO 63128-3287
Phone number: 314-892-6565