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Individual

DR. RAJASHREE GOTTIMUKKULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10004 KENNERLY RD STE 171, SAINT LOUIS, MO 63128-2141
(314) 821-0900
Mailing address
PO BOX 504934, SAINT LOUIS, MO 63150-4934
(314) 363-9696

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
2008003421
MO

Other

Enumeration date
02/07/2008
Last updated
08/25/2021
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