Individual
DR. CHETANA M REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5380
(314) 268-4141
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5380
(314) 268-4141
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
066403
GA
2080P0202X
Pediatric Cardiology Physician
Primary
2006008763
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003114510C
—
GA
05
—
203737200
—
MO
05
—
250358060
—
IL
Enumeration date
07/25/2006
Last updated
03/09/2021
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