Individual
DR. BHARATHI RAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12900 TESSON FERRY RD STE 101, SAINT LOUIS, MO 63128-3002
(314) 843-4848
(866) 510-2730
Mailing address
12900 TESSON FERRY RD STE 101, SAINT LOUIS, MO 63128-3002
(314) 843-4848
(866) 510-2730
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2001005643
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207175407
—
MO
Enumeration date
10/28/2005
Last updated
07/01/2024
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