Individual
GAYATHRI V RAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16216 BAXTER RD STE 325, CHESTERFIELD, MO 63017-4771
(636) 777-8058
(636) 777-8059
Mailing address
16216 BAXTER RD STE 325, CHESTERFIELD, MO 63017-4771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2001021531
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123858
GROUP HEALTH PLAN
MO
01
—
160467
BLUE CROSS/BLUE SHIELD
MO
01
—
487289
HEALTHLINK
MO
01
—
7841537
AETNA
MO
Enumeration date
07/15/2005
Last updated
04/19/2022
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