Paul Selvadurai Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A59661504 Issued in ZZ

Legal business name

PAUL SELVADURAI INC.

Practice address

6651 Chippewa St
Suite 214
Saint Louis, MO 63109-2538

Phone

(314) 647-5300

Fax

(314) 647-1996

NPI assigned

Sep 15, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Darlene Byrd

Title

Office Manager

Phone

(314) 647-5300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1184932824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6651 CHIPPEWA ST",
            "address_2": "SUITE 214",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092538",
            "telephone_number": "314-647-5300",
            "fax_number": "314-647-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 CHIPPEWA ST",
            "address_2": "SUITE 214",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092538",
            "telephone_number": "314-647-5300",
            "fax_number": "314-647-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL SELVADURAI INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-647-5300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "ZZ",
            "license": "A59661504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200352607",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Julia Nicole Paul, PA
• Michael J Paul, MD

• Internal Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.