Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RN0300X | Nephrologist | 036.130551 | IL |
Y | 207RN0300X | Nephrologist | 2017017022 | MO |
NPI | 1033346838 |
---|---|
Provider Name | Svetha Chunduri |
First Address | Chesterfield, MO 63017-3513 |
Second Address | Chesterfield, MO 63017-3513 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2009 |
Last Update Date | 17/03/2018 |