Individual
SHUBHA GADDE RAVINDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
510 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63110-1076
(314) 362-2809
Mailing address
4949 W PINE BLVD APT 8J, SAINT LOUIS, MO 63108-1474
(314) 537-2803
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
2025025844
MO
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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