Dandamudi, Babu R

Dandamudi, Babu R is an individual health care provider with primary practice located at 2900 Lemay Ferry Rd Ste 104, Saint Louis MO 63125-3900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dandamudi, Babu R can be contacted via phone (314) 525-1887.

Contact Information

Primary practice address
2900 Lemay Ferry Rd Ste 104 Saint Louis MO 63125-3900
Fax: (314) 525-1898
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35618 Missouri

Profile Details

NPI number 1386645430
LBN Legal business name Dandamudi, Babu R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Mar 14th, 2017 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386645430 NPPES
Missouri MEDICAID 201184900

Popular Providers