Individual
DR. ANURADHA KOTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2220 LEMP AVE, SAINT LOUIS, MO 63104-2700
(314) 814-8689
(314) 814-8542
Mailing address
820 WHEATON WAY, CREVE COEUR, MO 63141-3207
(314) 814-8560
(314) 814-8542
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MO 2003020830
MO
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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