IndividualActive
Madhavi Manyam, D.O
NPI 1255751970 · Gynecologic Oncology Physician · Saint Louis, MO
Provider details
- NPI number
- 1255751970
- Entity type
- Individual
- Primary specialty
- Gynecologic Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O
- Sex
- Female
- Sole proprietor
- No
- License
- 2021036903 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
607 S New Ballas Rd Ste 3100
Saint Louis, MO 63141-8219
Phone: (314) 251-4260
Approximate (ZIP-level) locationGet directions
Mailing address
607 S New Ballas Rd Ste 3100
Saint Louis, MO 63141-8219
Registry dates
- Enumerated
- 2014-04-21
- Last updated
- 2024-10-29
- Certified
- 2024-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.