Dr. Venkata Kr Bodavula
Surgery of the Hand
5600 Mexico Rd Ste 21
Saint Peters
, Missouri 63376-1660
Dr. Venkata Kr Bodavula
Surgery of the Hand
5600 Mexico Rd Ste 21
Saint Peters
, Missouri 63376-1660
(866) 283-3416
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About
Features
Specialties
- Surgery of the Hand
Languages spoken
- English
Location
First Address
- Dr. Venkata Kr Bodavula
- 3394 Mckelvey Rd Ste 115
- Bridgeton, MO
- Zip : 63044-2531
- Fax : (866) 283-3416
- Phone : (636) 373-9882
Second Address
- Dr. Venkata Kr Bodavula
- 5600 Mexico Rd Ste 21
- Saint Peters, MO
- Zip : 63376-1660
- Phone : (636) 373-9882
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0105X | Surgery of the Hand | 2010007564 | MO |
National Provider Identifier
| NPI | 1275714784 |
|---|---|
| Provider Name | Dr. Venkata Kr Bodavula |
| First Address | Bridgeton, MO 63044-2531 |
| Second Address | Saint Peters, MO 63376-1660 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/11/2007 |
| Last Update Date | 09/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.