Fleetwood, Vidyaratna A

Fleetwood, Vidyaratna A is an individual health care provider with primary practice located at 1225 S Grand Blvd Fl 3 , Saint Louis MO 63104-1016. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is her primary health care specialty. Fleetwood, Vidyaratna A can be contacted via phone (314) 257-3760.

Contact Information

Primary practice address
1225 S Grand Blvd Fl 3 Saint Louis MO 63104-1016
Phone: (314) 257-3760
Fax: (314) 257-3761
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 69614 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 2020026557 Missouri
Allopathic & Osteopathic Physicians / Surgery 208600000X 125061738 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 69614 Wisconsin
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 2020026557 Missouri

Profile Details

NPI number 1649534231
LBN Legal business name Fleetwood, Vidyaratna A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2012
Last updated Mar 23rd, 2021 - about 5 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.

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