Individual
MUDDASANI BABITHA REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 437 A, SAINT LOUIS, MO 63141-8232
(314) 251-3881
(314) 251-3885
Mailing address
621 S NEW BALLAS RD, SUITE 437 A, SAINT LOUIS, MO 63141-8232
(314) 251-3881
(314) 251-3885
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2010033071
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02498617
—
NY
Enumeration date
07/25/2006
Last updated
10/19/2010
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