Individual
CHAKRADHAR V VENKATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 S NEW BALLAS RD STE 7020, SAINT LOUIS, MO 63141-8218
(314) 251-6486
(314) 251-4155
Mailing address
625 S NEW BALLAS RD STE 7020, SAINT LOUIS, MO 63141-8218
(314) 251-6486
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2013027481
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
05/07/2007
Last updated
08/20/2024
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