Individual
PRASANTHI KANDULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10287 CLAYTON RD STE 360, SAINT LOUIS, MO 63124-1181
(314) 350-8207
Mailing address
10287 CLAYTON RD STE 360, SAINT LOUIS, MO 63124-1181
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
274491
MA
Other
Enumeration date
04/18/2014
Last updated
01/29/2025
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