Individual
GITA VADLAMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5351 DELMAR BLVD, SAINT LOUIS, MO 63112-3146
(314) 877-0755
(314) 877-0868
Mailing address
16 DUNLEITH DR, ST. LOUIS, MO 63124
(314) 877-0755
(314) 877-0868
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
R1C19
MO
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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