Individual
DR. HIMAVARSHA KANCHARLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
547 BROOK MEADOW DR, BALLWIN, MO 63021-3712
(314) 498-4475
Mailing address
547 BROOK MEADOW DR, BALLWIN, MO 63021-3712
(314) 498-4475
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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