Chandrika, Tattamangalam
Chandrika, Tattamangalam is an individual health care provider with primary practice located at 4055 Lindell Blvd , Saint Louis MO 63108-3201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Chandrika, Tattamangalam can be contacted via phone (314) 535-7701.Contact Information
Primary practice address
4055 Lindell Blvd
Saint Louis MO 63108-3201
Phone: (314) 535-7701
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | R6G03 | Missouri |
Profile Details
| NPI number | 1578554820 |
|---|---|
| LBN Legal business name | Chandrika, Tattamangalam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Oct 3rd, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578554820 | NPPES |
| Missouri | Other | 100193 | HEALTHLINK |
| Missouri | Other | 4038830 | HEALTHLINK |
| Missouri | Other | A29039 | HEALTHLINK |
| Missouri | Other | 28790 | HEALTHLINK |
| Missouri | Other | 1200160 | HEALTHLINK |
| Missouri | Other | 40291 | HEALTHLINK |
| Missouri | Other | 1818V343411 | HEALTHLINK |
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