Chilakamarri, Srinivas

Chilakamarri, Srinivas is an individual health care provider with primary practice located at 10004 Kennerly Road, Suite 362B , St Louis MO 63128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Chilakamarri, Srinivas can be contacted via phone (314) 849-0450.

Contact Information

Primary practice address
10004 Kennerly Road, Suite 362B St Louis MO 63128
Phone: (314) 849-0450
Fax: (314) 849-0159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD36785 Missouri

Profile Details

NPI number 1265539878
LBN Legal business name Chilakamarri, Srinivas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2006
Last updated Dec 19th, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265539878 NPPES
Missouri MEDICAID 202428413

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