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Individual

BHASKARA V.V.B. GADI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1350 US HIGHWAY 61, FESTUS, MO 63028
(636) 931-3655
(636) 933-0293
Mailing address
1350 US HIGHWAY 61, FESTUS, MO 63028-4124
(636) 931-3655
(636) 933-0293

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
2013015144
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
145HU
BCBS
05
158716001
AR
05
1821057365
MO
05
1821057365
VA
01
199168
MEDCOST
05
200589660B
MO
05
200589660C
KS
05
3810009175
WV
05
5906822
NC
01
7984868
AETNA
01
810504
PARTNERS
01
P01230378
RR MEDICARE
MO
01
P01321591
RR MEDICARE
KS
05
Q00039H
SC
Enumeration date
03/22/2006
Last updated
11/13/2019
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