Peterson, Renuka E

Peterson, Renuka E is an individual health care provider with primary practice located at 1465 S Grand Blvd , Saint Louis MO 63104-1003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as her primary health care specialty. Peterson, Renuka E can be contacted via phone (314) 577-5380.

Contact Information

Primary practice address
1465 S Grand Blvd Saint Louis MO 63104-1003
Phone: (314) 577-5380
Fax: (314) 268-4141
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X A78953 California
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 2009020687 Missouri

Profile Details

NPI number 1194823310
LBN Legal business name Peterson, Renuka E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jan 20th, 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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