Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 2017011295 | MO |
NPI | 1205255379 |
---|---|
Provider Name | Manoj Parimi |
First Address | Saint Louis, MO 63141-8255 |
Second Address | Saint Louis, MO 63141-8255 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2014 |
Last Update Date | 21/07/2020 |