Individual
NAGA NEELIMA NALLAPANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4414 NORTH FLORISSANT, ST LOUIS, MO 63107-1812
(314) 898-1700
(314) 814-8542
Mailing address
1717 BIDDLE ST, SAINT LOUIS, MO 63106-3454
(314) 814-8531
(314) 814-8542
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2014020689
MO
207RN0300X
Nephrology Physician
6398
NE
390200000X
Student in an Organized Health Care Education/Training Program
2009017059
MO
Other
Enumeration date
06/25/2009
Last updated
08/30/2016
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