Individual
DR. BHAVANA CHOUDHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
621 S NEW BALLAS RD, STE 3016 B, ST. LOUIS, MO 63141
(314) 251-6339
(314) 251-4564
Mailing address
621 S NEW BALLAS RD, STE 3016 B, ST. LOUIS, MO 63141
(314) 251-6339
(314) 251-4564
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2006013137
MO
Other
Enumeration date
07/31/2008
Last updated
01/11/2011
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