Individual
DR. PANDURANGA RAO KOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 LEMAY FERRY RD, STE 104, SAINT LOUIS, MO 63125-3900
(314) 525-1887
(314) 525-1868
Mailing address
2900 LEMAY FERRY RD, STE 104, SAINT LOUIS, MO 63125-3900
(314) 525-1887
(314) 525-1868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036089772
IL
207R00000X
Internal Medicine Physician
Primary
2014011671
MO
Other
Enumeration date
09/06/2006
Last updated
03/14/2017
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