Search › Missouri › 207RP1001X
Shyam Ivaturi, M.D
NPI 1881682904 · on the registry since 2005
Practice
- Address
- 12700 Southfork Rd Ste 280
Saint Louis, MO 63128 - Phone
- (314) 892-6565
- Fax
- (314) 892-4828
- Organisation at this address
- Mercy Pharmacy Services, Llc
St. Anthony'S Medical Center
General Surgery Of St Louis Pc
St. Anthony'S Physician Organization
St. Anthony'S Physician OrganizationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 72
Registry record
- Primary taxonomy
- 207RP1001X
207RP1001X
- Also registered as
- 207RC0200X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-16
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