Individual
SHAILAJA ATHOTA BELLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17050 BAXTER RD STE 110, DEPT. OF ANESTHESIA, CHESTERFIELD, MO 63005-1422
(636) 200-4242
(636) 200-4243
Mailing address
351 CONSORT DR, BALLWIN, MO 63011-4439
(636) 200-4242
(636) 200-4243
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2010018424
MO
390200000X
Student in an Organized Health Care Education/Training Program
2006018691
MO
Other
Enumeration date
07/05/2007
Last updated
03/13/2014
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