Individual
BARUGUR S. RAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3635 VISTA AT GRAND BLVD, ST LOUIS, MO 63110
(314) 577-8750
Mailing address
1031 HIGHLANDS PLAZA DR W, APT # 111, SAINT LOUIS, MO 63110-1303
(205) 266-1321
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C53465
CA
207P00000X
Emergency Medicine Physician
35-08-2947-R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000305682
BLUECROSS BLUESHIELD
OH
05
—
2439025
—
OH
Enumeration date
01/27/2006
Last updated
02/27/2015
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