Most Relevant Information
Provider Data
| NPI Number: | 1003375445 |
| Provider Name: | SHRUTHIMURTHY HASSANKRISHNAMURTHY |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/15/2019 |
| Last Updated: | 03/15/2019 |
Provider Practice Location
1465 S GRAND BLVD
SAINT LOUIS
MO
631041003
Practice Location Phone/Fax
| Phone: | 3145775629 |
| Fax: | 3142686454 |
Provider Mailing Location
1465 S GRAND BLVD
SAINT LOUIS
MO
631041003
Provider Mailing Phone/Fax
| Phone: | 3145775629 |
| Fax: | 3142686454 |