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Dr. Charlie Srivilasa

Surgeon Trauma Surgeon Surgical Critical Care

4901 Forest Park Ave Div Surg Accs, Ste 340
Saint Louis , Missouri 63108-1495

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Dr. Charlie Srivilasa

Surgeon Trauma Surgeon Surgical Critical Care

4901 Forest Park Ave Div Surg Accs, Ste 340
Saint Louis , Missouri 63108-1495

(314) 362-5743

Write a Review Save Call

Dr. Charlie Srivilasa

Surgeon Trauma Surgeon Surgical Critical Care

4901 Forest Park Ave Div Surg Accs, Ste 340
Saint Louis , Missouri 63108-1495

(314) 362-5743 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Surgeon
  • Surgical Critical Care
  • Trauma Surgeon

Languages spoken

  • English

Location

4901 Forest Park Ave Div Surg Accs, Ste 340 Saint Louis , Missouri 63108-1495

First Address

  • Dr. Charlie Srivilasa
  • 660 S Euclid Ave Msc 8109-43-1160
  • Saint Louis, MO
  • Zip : 63110-1010
  • Fax : (314) 362-5743
  • Phone : (314) 747-2829

Second Address

  • Dr. Charlie Srivilasa
  • 4901 Forest Park Ave Div Surg Accs, Ste 340
  • Saint Louis, MO
  • Zip : 63108-1495
  • Fax : (314) 362-5743
  • Phone : (314) 362-5298

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FAQs


Where did Dr. Charlie Srivilasa attend graduate school?

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Where did Dr. Charlie Srivilasa do his residency?

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Where did Dr. Charlie Srivilasa do his fellowship?

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Is Dr. Charlie Srivilasa board certified?

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What type of doctor is Dr. Charlie Srivilasa

Surgical Critical Care

In what state does Dr. Charlie Srivilasa practice in?

Missouri

Where is Dr. Charlie Srivilasa ’s practice located?

4901 Forest Park Ave Div Surg Accs, Ste 340 , Saint Louis, Missouri, 63108-1495

What is Dr. Charlie Srivilasa ’s gender?

Male

Is Dr. Charlie Srivilasa a sole practitioner?

No

Is Dr. Charlie Srivilasa accepting new patients?

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What languages does Dr. Charlie Srivilasa speak?

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Does Dr. Charlie Srivilasa accept insurance?

Yes, Dr. Charlie Srivilasa accepts insurance

Does Dr. Charlie Srivilasa offers telemedicine?

Dr. Charlie Srivilasa has not indicated if he offers telemedicine

What is Dr. Charlie Srivilasa ’s professional license number?

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What is Dr. Charlie Srivilasa ’s NPI number?

1346531464

Does Dr. Charlie Srivilasa have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 208200000X Surgeon 2018032445 MO
N 208600000X Surgeon 2018032445 MO
Y 2086S0102X Surgical Critical Care 2018032445 MO
N 2086S0127X Trauma Surgeon 2018032445 MO

National Provider Identifier

NPI 1346531464
Provider Name Dr. Charlie Srivilasa
First Address Saint Louis, MO 63110-1010
Second Address Saint Louis, MO 63108-1495
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 23/04/2011
Last Update Date 15/11/2021

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
200066167 (05) MO

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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