Individual
CHENNAIAH NADINDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5900 BOND AVE, EAST SAINT LOUIS, IL 62207-2326
(618) 332-5212
Mailing address
1836 LACKLAND HILL PKWY, SAINT LOUIS, MO 63146-3572
(314) 872-1439
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036052876
IL
207P00000X
Emergency Medicine Physician
R6025
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639283195
—
MO
Enumeration date
08/19/2006
Last updated
09/21/2009
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