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Search › Missouri › 2086S0105X

Venkata Bodavula, MD

NPI 1275714784 · on the registry since 2007

Practice

Address
5600 Mexico Rd Ste 21
Saint Peters, MO 63376
Phone
(636) 373-9882
Organisation at this address
Boonslick Pediatrics
Spencer Creek Dental Care, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
2086S0105X
2086S0105X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-03-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri