Individual
DR. MANOJ HARI PALAVALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 257-8000
(314) 977-1664
Mailing address
1008 S SPRING AVE, SAINT LOUIS, MO 63110-2520
(314) 977-2605
(314) 977-1664
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
57.249192
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
03/19/2024
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