Busayavalasa, Deepthi
Busayavalasa, Deepthi is an individual health care provider with primary practice located at 6435 Chippewa St , Saint Louis MO 63109-2104. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Busayavalasa, Deepthi can be contacted via phone (314) 353-1870.Contact Information
Primary practice address
6435 Chippewa St
Saint Louis MO 63109-2104
Phone: (314) 353-1870
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 125068035 | Illinois |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 2019014568 | Missouri |
Profile Details
| NPI number | 1174971469 |
|---|---|
| LBN Legal business name | Busayavalasa, Deepthi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2016 |
| Last updated | Aug 19th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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