Individual
RAMA TALLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5000
(636) 333-4510
Mailing address
PO BOX 7355, CHESTERFIELD, MO 63006-7355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
105863
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203951355
—
MO
Enumeration date
06/22/2006
Last updated
07/24/2024
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