Organization
SOUTH COUNTY INTERNAL MEDICINE PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RATAN K NALLAMOTHU M.D (PHYSICIAN)
(636) 579-6148
Entity
Organization
Contact information
Practice address
1479 HIGHWAY 61, SUITE A, FESTUS, MO 63028-4109
(636) 579-6148
(888) 756-6714
Mailing address
12342 SPANISH TRACE DR, MARYLAND HEIGHTS, MO 63043-2306
(314) 542-3686
(888) 756-6714
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2009008003
MO
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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