Organization
ID CONSULTANTS, P.C.
Active
Organization
ID CONSULTANTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHANDRA B. DOMMARAJU M.D. (PRESIDENT)
(636) 933-2344
Entity
Organization
Contact information
Practice address
1400 US HIGHWAY 61 STE 260, FESTUS, MO 63028-4101
(636) 933-2344
(636) 937-9031
Mailing address
1400 US HIGHWAY 61 STE 260, FESTUS, MO 63028-4101
(636) 933-2344
(636) 937-9031
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MO106962
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578866596
NPI
MO
Enumeration date
09/13/2006
Last updated
04/26/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up