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NPI Code Detail

MEDICARE: DR. RAMA DEVI BANDI M.D.

MEDICARE: DR. RAMA DEVI BANDI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician2007024551MO

General Provider Information

NPI Number : 1245441450
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAMA DEVI BANDI M.D.
Provider Business Mailing Address
First Line : 2727 WASHINGTON AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63103-1421
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2727 WASHINGTON AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63103-1421
Country : US
Telephone Number : 314-652-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2007
Last Update Date : 12/20/2013

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