Individual
RATNASRI V MOGALLAPU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
VA MEDCIAL CENTER (116 A/JB), ONE JEFFERSON BARRACKS DR, MO 63125
(314) 487-0400
Mailing address
2128 AVALON VIEW DR, FENTON, MO 63026-2692
(314) 479-4340
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2006006976
MO
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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