Individual
DR. GEETHA MADDUKURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(636) 697-5415
(636) 697-5415
Mailing address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(636) 697-5415
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2010006698
MO
Other
Enumeration date
07/31/2008
Last updated
04/24/2024
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