Individual
DR. MANASA MADHURI METIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 BARNES WEST DR, DIV IM NEPHROLOGY, STE 200, SAINT LOUIS, MO 63141-6287
(314) 362-7603
(314) 747-5213
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-7603
(314) 747-5213
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
2013015504
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200016352
—
MO
Enumeration date
10/01/2008
Last updated
09/12/2025
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