Healthcare Provider Details
I. General information
NPI: 1942126230
Provider Name (Legal Business Name): SELVA SARAVANAN SAMINATHAN MBBS, MRCP (UK)
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
660 SOUTH EUCLID AVENUE DIVISION OF NEPHROLOGY SECTION OF TRANSPLANTATION
ST LOUIS MO
63110
US
IV. Provider business mailing address
660 SOUTH EUCLID AVENUE MAIL STOP 8126-05-06
ST LOUIS MO
63110
US
V. Phone/Fax
- Phone: 314-362-8351
- Fax: 314-362-2713
- Phone: 314-362-8351
- Fax: 314-362-2713
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: