DR. Mitra B Boodram MD

  • NPI 1174537039
According to our database, the NPI number for DR. Mitra B Boodram MD is 1174537039 and activated since 17 years ago. DR. Mitra B Boodram MD is an individual provider who specializes in Neuroradiology, and the primary practice location is 11133 Dunn Rd, Saint Louis, MO 63136. You can also contact DR. Mitra B Boodram MD via telephone number is (314) 362-7200. Provider NPI information was last updated on 12/31/2019.

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Overview of DR. Mitra B Boodram MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/28/2006
  • Last updated: 12/31/2019

Primary Scrop of Practice

  • Taxonomy Code: 2085N0700X
  • Specialty: Neuroradiology
  • License Number: 110362
  • License State: MO

Provider Mailing Address

  • Address: 660 S Euclid Ave
    Cb 8131
    Saint Louis, MO 63110
  • Phone: 314-362-7200
  • Fax: 314-747-4189

Provider Practice Location

  • Address: 11133 Dunn Rd
    Saint Louis, MO 63136
  • Phone: 314-362-7200
  • Fax: 314-747-4189

Scope of Practice

  • Taxonomy Code: 2085N0700X
  • Specialty: Neuroradiology
  • License Number: 110362
  • License State: MO
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 208285007
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MO
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Mitra B Boodram MD?
  • A: The npi number for DR. Mitra B Boodram MD is 1174537039.
  • Q: What are DR. Mitra B Boodram MD's specialties?
  • A: DR. Mitra B Boodram MD's specialties are Neuroradiology and different specialities.
  • Q: What is the medical license for DR. Mitra B Boodram MD?
  • A: The medical license number for DR. Mitra B Boodram MD is 110362 and issued in MO in USA.
  • Q: Where is DR. Mitra B Boodram MD practice location?
  • A: DR. Mitra B Boodram MD is practicing at 11133 Dunn Rd, Saint Louis, MO 63136.
  • Q: How to contact DR. Mitra B Boodram MD?
  • A: You can contact DR. Mitra B Boodram MD via 314-362-7200.
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