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Renuka E Peterson

Pediatric Cardiologist

1465 S Grand Blvd
Saint Louis , Missouri 63104-1003

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Renuka E Peterson

Pediatric Cardiologist

1465 S Grand Blvd
Saint Louis , Missouri 63104-1003

(314) 268-4141

Write a Review Save Call

Renuka E Peterson

Pediatric Cardiologist

1465 S Grand Blvd
Saint Louis , Missouri 63104-1003

(314) 268-4141 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatric Cardiologist

Languages spoken

  • English

Location

1465 S Grand Blvd Saint Louis , Missouri 63104-1003

First Address

  • Renuka E Peterson
  • 1465 S Grand Blvd
  • Saint Louis, MO
  • Zip : 63104-1003
  • Fax : (314) 268-4141
  • Phone : (314) 577-5633

Second Address

  • Renuka E Peterson
  • 1465 S Grand Blvd
  • Saint Louis, MO
  • Zip : 63104-1003
  • Fax : (314) 268-4141
  • Phone : (314) 577-5380

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FAQs


Where did Renuka E Peterson attend graduate school?

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Where did Renuka E Peterson do her residency?

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Where did Renuka E Peterson do her fellowship?

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Is Renuka E Peterson board certified?

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What type of doctor is Renuka E Peterson

Pediatric Cardiologist

In what state does Renuka E Peterson practice in?

Missouri

Where is Renuka E Peterson ’s practice located?

1465 S Grand Blvd , Saint Louis, Missouri, 63104-1003

What is Renuka E Peterson ’s gender?

Female

Is Renuka E Peterson a sole practitioner?

No

Is Renuka E Peterson accepting new patients?

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What languages does Renuka E Peterson speak?

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Does Renuka E Peterson accept insurance?

Yes, Renuka E Peterson accepts insurance

Does Renuka E Peterson offers telemedicine?

Renuka E Peterson has not indicated if she offers telemedicine

What is Renuka E Peterson ’s professional license number?

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What is Renuka E Peterson ’s NPI number?

1194823310

Does Renuka E Peterson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2080P0202X Pediatric Cardiologist 2009020687 MO
N 2080P0202X Pediatric Cardiologist A78953 CA

National Provider Identifier

NPI 1194823310
Provider Name Renuka E Peterson
First Address Saint Louis, MO 63104-1003
Second Address Saint Louis, MO 63104-1003
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 20/09/2006
Last Update Date 20/01/2021

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
135911 (02) CA

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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