Individual
ASHOK YANAMADALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4121 UNION RD STE 201, SAINT LOUIS, MO 63129-1070
(314) 930-3520
(314) 930-3675
Mailing address
4121 UNION RD STE 201, SAINT LOUIS, MO 63129-1070
(314) 930-3520
(314) 930-3675
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
117717
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205266505
—
MO
Enumeration date
01/04/2007
Last updated
09/11/2019
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