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:
Health care specialties
Specialty | Code | License # | 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 3 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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