Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | R2E63 | MO |
NPI | 1699815837 |
---|---|
Provider Name | Dr. Saroj N D'souza |
First Address | Saint Louis, MO 63141-6841 |
Second Address | Saint Louis, MO 63141-6841 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D83435 | (02) | MO |