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Individual

CHITRA R UPPALURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
(314) 768-8000
(314) 768-8011
Mailing address
1836 LACKLAND HILL PKWY, ATTNT: CREDENTIALING DEPT, SAINT LOUIS, MO 63146-3572
(314) 989-0300
(314) 810-1399

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2000158940
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
205368707
MO
Enumeration date
05/19/2006
Last updated
05/29/2008
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