Individual
CHAITANYA SUGUNASAI ROJULPOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 617-2000
Mailing address
501 S WASHINGTON AVE, SCRANTON, PA 18505-3814
(570) 591-5175
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2024047126
MO
207RC0000X
Cardiovascular Disease Physician
2024047126
MO
208M00000X
Hospitalist Physician
2024047126
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2020
Last updated
04/29/2025
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