Individual
DR. RAJAGOPAL V CHADAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
1130 STONEWOLF TRL, FAIRVIEW HTS, IL 62208-4507
(618) 622-8951
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
2001014600
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209431709
—
MO
Enumeration date
07/10/2006
Last updated
07/08/2007
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