Provider Demographics
NPI:1336403500
Name:KRITS, SEMEON IGOREVICH (MD)
Entity Type:Individual
Prefix:DR
First Name:SEMEON
Middle Name:IGOREVICH
Last Name:KRITS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SEMEON
Other - Middle Name:
Other - Last Name:KRITS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3635 VISTA AVE
Mailing Address - Street 2:ST LOUIS UNIVERSITY EMERGENCY MEDICINE DEPARTMENT
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-2539
Mailing Address - Country:US
Mailing Address - Phone:314-577-8780
Mailing Address - Fax:314-577-8516
Practice Address - Street 1:3635 VISTA AVE
Practice Address - Street 2:ST LOUIS UNIVERSITY EMERGENCY MEDICINE DEPARTMENT
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-2539
Practice Address - Country:US
Practice Address - Phone:314-577-8780
Practice Address - Fax:314-577-8516
Is Sole Proprietor?:No
Enumeration Date:2012-07-02
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MO2015021005207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program