Individual
RACHANA SANTHOSH RAGHUPATHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(937) 613-9758
Mailing address
4643 LINDELL BLVD APT 1104, SAINT LOUIS, MO 63108-3737
(937) 613-9758
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2022019851
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022019851
MISSOURI LICENSE NUMBER
MO
Enumeration date
06/06/2022
Last updated
06/06/2022
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