Individual
DR. BHAVNA AISHWARYA GUDUGUNTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, DIV IM GENERAL MED, SAINT LOUIS, MO 63110-1003
(314) 747-3000
(314) 996-8436
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 747-3000
(314) 996-8436
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2023019940
MO
207R00000X
Internal Medicine Physician
2026011860
MO
208D00000X
General Practice Physician
Primary
2026011860
MO
Other
Enumeration date
06/20/2023
Last updated
06/22/2026
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