Kristina Radoulova in Saint Louis - Child & Adolescent Psychiatry

Kristina Radoulova - NPI 1720287089

Kristina Radoulova is a Child & Adolescent Psychiatry in Saint Louis, Missouri. Kristina Radoulova practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Kristina Radoulova is 1720287089. The last update date is 2018-03-17.

Kristina Radoulova's current location address is 621 S New Ballas Rd Ste 693a, Saint Louis, Missouri. You can contact this provider via phone number 3142516898. The mailing address for Kristina Radoulova is 621 S New Ballas Rd Ste 693a, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Kristina Radoulova
Address 621 S New Ballas Rd Ste 693a, Saint Louis, Missouri
Phone Number 3142516898
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1720287089
Provider Enumeration Date 2007-07-16
Last Updated Date 2018-03-17

Provider Mailing Address Detail

Address 621 S New Ballas Rd Ste 693a
City Saint Louis
State Missouri (MO)
Post Code 631418263
Phone Number 3142516898
Fax Number

Provider's Primary Taxonomy Detail

Speciality Child & Adolescent Psychiatry
Taxonomy 2084P0804X
Licence No 2009005467
Definition:
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1720287089 MO --

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FAQs about Kristina Radoulova

What is the unique provider identifier assigned to Kristina Radoulova?

The Kristina Radoulova has been issued the NPI (National Provider Identifier) 1720287089 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Kristina Radoulova is physically located?

The Kristina Radoulova is physically situated at the following address: 621 S New Ballas Rd Ste 693A, Saint Louis, MO, 631418263.

What is Kristina Radoulova's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kristina Radoulova's area of specialization is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0804X.

When did the Kristina Radoulova receive its 1720287089?

The Kristina Radoulova was issued its 1720287089 on 2007-07-16, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Kristina Radoulova, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kristina Radoulova, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-03-17.

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