Individual
SRI KRISHNA CHAITANYA PATCHALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1027 BELLEVUE AVE, RICHMOND HEIGHTS, MO 63117-1996
(314) 768-5202
Mailing address
1776 WOODSTEAD CT STE 208, THE WOODLANDS, TX 77380-1480
(877) 749-7428
(512) 628-3314
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
036-141524
IL
208100000X
Physical Medicine & Rehabilitation Physician
2012016755
MO
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2019045761
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000079368
—
MO
05
—
462543964-75267-01
—
IL
Enumeration date
06/22/2012
Last updated
12/02/2025
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