Provider Demographics
NPI:1871543538
Name:TEPPER, HANA LYNDA (MD)
Entity type:Individual
Prefix:DR
First Name:HANA
Middle Name:LYNDA
Last Name:TEPPER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:224 S WOODS MILL RD
Mailing Address - Street 2:SUITE 435 SOUTH
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3451
Mailing Address - Country:US
Mailing Address - Phone:314-392-4762
Mailing Address - Fax:314-590-5937
Practice Address - Street 1:224 S WOODS MILL RD
Practice Address - Street 2:SUITE 435 SOUTH
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3451
Practice Address - Country:US
Practice Address - Phone:314-392-4762
Practice Address - Fax:314-590-5937
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA055799207R00000X
MO2008002480207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine