Venkata Kr Bodavula in Bridgeton - Surgery Of The Hand
Venkata Kr Bodavula - NPI 1275714784
Venkata Kr Bodavula is a Surgery Of The Hand in Bridgeton, Missouri. Venkata Kr Bodavula practices all healthcare services and medical treatments related to Surgery Of The Hand. The NPI Number for Venkata Kr Bodavula is 1275714784. The last update date is 2021-03-09.
Venkata Kr Bodavula's current location address is 3394 Mckelvey Rd Ste 115, Bridgeton, Missouri. You can contact this provider via phone number 6363739882 and fax number 8662833416. The mailing address for Venkata Kr Bodavula is 3394 Mckelvey Rd Ste 115, Bridgeton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Venkata Kr Bodavula |
|---|---|
| Address | 3394 Mckelvey Rd Ste 115, Bridgeton, Missouri |
| Phone Number | 6363739882 |
| Fax Number | 8662833416 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1275714784 |
|---|---|
| Provider Enumeration Date | 2007-11-27 |
| Last Updated Date | 2021-03-09 |
Provider Mailing Address Detail
| Address | 3394 Mckelvey Rd Ste 115 |
|---|---|
| City | Bridgeton |
| State | Missouri (MO) |
| Post Code | 630442531 |
| Phone Number | 6363739882 |
| Fax Number | 8662833416 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery Of The Hand |
|---|---|
| Taxonomy | 2086S0105X |
| Licence No | 2010007564 |
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Definition: A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
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What is the Venkata Kr Bodavula's unique identification number?
The Venkata Kr Bodavula has been assigned the NPI (National Provider Identifier) Number 1275714784 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Venkata Kr Bodavula is geographically located?
The Venkata Kr Bodavula is physically situated at the following location: 3394 Mckelvey Rd Ste 115, Bridgeton, MO, 630442531.
What is Venkata Kr Bodavula'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 Venkata Kr Bodavula is Surgery Of The Hand, and the taxonomy classification code that categorizes this area of expertise is 2086S0105X.
On what date did the Venkata Kr Bodavula receive the assignment of its 1275714784 from the Centers for Medicare & Medicaid Services?
The Venkata Kr Bodavula was issued its 1275714784 by the Centers for Medicare & Medicaid Services on 2007-11-27.
As of what date was the information regarding Venkata Kr Bodavula, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Venkata Kr Bodavula, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-03-09.
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