SearchMissouri103TC0700X

John Thekkedam, PH.D

NPI 1477659498 · on the registry since 2006 · sole proprietor

Practice

Address
1505 Haviland Dr
Saint Louis, MO 63137
Phone
(314) 868-2400

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
103TC0700X
Licence states on file
MO, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri