Individual
RAVI K DONEPUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
224 S WOODS MILL RD STE 580, CHESTERFIELD, MO 63017-3513
(314) 205-6736
Mailing address
224 S WOODS MILL RD STE 580, CHESTERFIELD, MO 63017-3513
(314) 205-6736
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2007030780
MO
208M00000X
Hospitalist Physician
2007030780
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306041108
—
IL
05
—
1306041108
—
MO
Enumeration date
06/20/2007
Last updated
11/27/2023
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