Individual
VENKATA NAGIREDDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1463 US HIGHWAY 61, SUITE C, FESTUS, MO 63028-4100
(636) 937-2755
(636) 933-2910
Mailing address
1463 HIGHWAY 61, SUITE C, FESTUS, MO 63028-4101
(636) 937-2755
(636) 933-2910
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2004006669
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207557505
—
MO
Enumeration date
07/04/2006
Last updated
01/06/2016
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