Mitra B Boodram in Saint Louis - Neuroradiology
Mitra B Boodram - NPI 1174537039
Mitra B Boodram is a Neuroradiology in Saint Louis, Missouri. Mitra B Boodram practices all healthcare services and medical treatments related to Neuroradiology. The NPI Number for Mitra B Boodram is 1174537039. The last update date is 2021-11-15.
Mitra B Boodram's current location address is 660 S Euclid Ave, Saint Louis, Missouri. You can contact this provider via phone number 3143627200 and fax number 3147474189. The mailing address for Mitra B Boodram is 660 S Euclid Ave, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mitra B Boodram |
|---|---|
| Address | 660 S Euclid Ave, Saint Louis, Missouri |
| Phone Number | 3143627200 |
| Fax Number | 3147474189 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1174537039 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2021-11-15 |
Provider Mailing Address Detail
| Address | 660 S Euclid Ave |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631101010 |
| Phone Number | 3143627200 |
| Fax Number | 3147474189 |
Provider's Primary Taxonomy Detail
| Speciality | Neuroradiology |
|---|---|
| Taxonomy | 2085N0700X |
| Licence No | 110362 |
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Definition: A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 208285007 | MO | -- |
Post Comment/ Review Below
What is the Mitra B Boodram's unique identification number?
The Mitra B Boodram has been assigned the NPI (National Provider Identifier) Number 1174537039 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Mitra B Boodram is physically located?
The Mitra B Boodram is physically situated at the following address: 660 S Euclid Ave, Saint Louis, MO, 631101010.
What is Mitra B Boodram's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mitra B Boodram is Neuroradiology, and the taxonomy classification code that categorizes this area of expertise is 2085N0700X.
When did Mitra B Boodram receive its 1174537039 assignment?
The Mitra B Boodram was assigned its 1174537039 on 2006-07-28, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Mitra B Boodram, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mitra B Boodram, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-11-15.