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Search › Missouri › 207R00000X

Jambunathan Mahadevan, MD

NPI 1669588638 · on the registry since 2006

Practice

Address
3535 S Jefferson Ave
Suite 304
St Louis, MO 63118
Phone
(314) 865-6585
Fax
(314) 865-6599
Organisation at this address
Jay Mahadevan Inc
Forest Park Pharmacy
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-08-05

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