Individual
DR. NARSIMHA R MUDDASANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N 8TH ST, EAST SAINT LOUIS, IL 62201-2989
(618) 271-0130
(618) 271-6325
Mailing address
2120 MADISON AVE, SUITE 406, GRANITE CITY, IL 62040-4744
(618) 877-1008
(618) 877-1512
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036089128
IL
2084P0804X
Child & Adolescent Psychiatry Physician
105499
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207790411
—
MO
Enumeration date
09/16/2006
Last updated
05/17/2021
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