Chenna, Praveen Raju
Chenna, Praveen Raju is an individual health care provider with primary practice located at 4921 Parkview Pl Div Im Pulmonary And Ccm, Ste 8B, Saint Louis MO 63110-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Chenna, Praveen Raju can be contacted via phone (314) 454-8917.Contact Information
Primary practice address
4921 Parkview Pl Div Im Pulmonary And Ccm, Ste 8B
Saint Louis MO 63110-1032
Phone: (314) 454-8917
Fax: (314) 727-2200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 2011012284 | Missouri |
Profile Details
| NPI number | 1295932689 |
|---|---|
| LBN Legal business name | Chenna, Praveen Raju |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2007 |
| Last updated | Apr 25th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295932689 | NPPES |
| Missouri | MEDICAID | 205613508 |
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