Individual
DR. RAHUL PEDAGANDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(344) 314-6000
Mailing address
15608 STARLING WATER DR, LITHIA, FL 33547-3924
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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