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Individual

DR. BABU SRIRAM MARINGANTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
(314) 768-8778
(314) 768-7101
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
303070
LA
207R00000X
Internal Medicine Physician
Primary
MD2019-0697
NM

Other

Enumeration date
05/06/2013
Last updated
09/13/2024
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