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Individual

DR. DEVIKA RANI NAGARAJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6339
Mailing address
621 S NEW BALLAS RD STE 112A, SAINT LOUIS, MO 63141-8252
(314) 251-6339

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2001007777
MO
208000000X
Pediatrics Physician
2001007777
MO
208M00000X
Hospitalist Physician
2001007777
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
150021
BCBS
MO
05
205860307
MO
01
440912
HEALTHLINK
05
7100012950
KY
01
P00080062
RR MEDICARE
Enumeration date
05/11/2006
Last updated
10/10/2022
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