Provider Demographics
NPI:1407351141
Name:LOPES, SNEHA RICHARD
Entity Type:Individual
Prefix:
First Name:SNEHA
Middle Name:RICHARD
Last Name:LOPES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SAHIL VILLA, MADI DEVTALAO ROAD, OPP SONBHAT, LEVADI
Mailing Address - Street 2:SALOLI, VASAI (W)
Mailing Address - City:DT. PALGHAR
Mailing Address - State:MAHARASHTRA
Mailing Address - Zip Code:401201
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1438 S GRAND BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63104-1027
Practice Address - Country:US
Practice Address - Phone:314-977-4828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-26
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program