Jayasree Bodagala M.D.

NPI 1083990089 - Family Medicine - 207Q00000X

NPI Details
NPI 1083990089
Gender Female
Enumeration Date 10/23/2011
Last Updated 11/12/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
1101 W LIBERTY ST
FARMINGTON MO, 63640-1921, US
Phone (573) 708-1272
Fax (573) 756-6807
Business Location
670 MASON RIDGE CENTER DR
STE 300
SAINT LOUIS MO, 63141-8573, US
Phone (573) 708-1272
Fax (573) 756-6807
Toxanomy
Taxonomy Code 207Q00000X
License State Ohio
License Number 57-019853
Remove 1083990089 NPI Number
 

According to our database, Mrs. Jayasree Bodagala M.D. NPI is 1083990089, taxonomy code is 207Q00000X and license number is 57-019853, license state is located at Ohio. Jayasree Bodagala M.D. physically located at 1101 W Liberty St, Farmington MO, 63640-1921. NPI Number Jayasree Bodagala M.D. has the Individual type.

Sponsored links

1083990089 NPI number is provided on an as is basis without warranty of any kind. 1083990089 is maintained by the National Plan & Provider Enumeration System. The contents of Jayasree Bodagala M.D. are for informational purposes only.