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Individual

DR. PRADEEP ATTALURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4921 PARKVIEW PL, DEPT ORTHOPAEDIC SURGERY, STE 6A/6B/12A, SAINT LOUIS, MO 63110-1032
(314) 514-3500
(314) 878-7678
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 514-3500
(314) 878-7678

Taxonomy

Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
2025000984
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200159944
MO
Enumeration date
04/05/2019
Last updated
08/06/2025
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