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Individual

DR. RAMAKRISHNA VENKATESH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 1ST CAPITOL DR STE 301, SAINT CHARLES, MO 63301-2883
(636) 669-3080
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
036154468
IL
208800000X
Urology Physician
Primary
2004000458
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
205938400
MO
Enumeration date
07/14/2006
Last updated
11/18/2024
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