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Contact Information

SELVARAJ MUTHUSAMY, MD
1325 S GRAND BLVD
ROOM 436
SAINT LOUIS, MO63104-1018
 Phone: 314-577-8694
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for SELVARAJ MUTHUSAMY · (Male)

NPI Number 1407260938
Status Active
Credentials MD
Entity Individual
Enumeration date 06/12/2014
Last updated 01/22/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2014016506
Hospital affiliation(s)
  • MEDICAL COLLEGE OF VIRGINIA HOSPITALS - (Acute Care)
    1250 EAST MARSHALL STREET - BOX 980510
    RICHMOND, VA 23298
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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