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Contact Information

VENKATA K BODAVULA, MD
5600 MEXICO RD STE 21
SAINT PETERS, MO63376-1660
 Phone: 636-373-9882
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for VENKATA K BODAVULA · (Male)

NPI # 1275714784
Status Active
Credentials MD
Entity Individual
Enumeration date 11/27/2007
Last updated 03/09/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2010007564
Hospital affiliation(s)
  • BARNES-JEWISH ST PETERS HOSPITAL - (Acute Care)
    10 HOSPITAL DR
    SAINT PETERS, MO 63376
  • LINCOLN COUNTY MEDICAL CENTER - (Critical Access)
    1000 EAST CHERRY STREET
    TROY, MO 63379
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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