DR. VENKATA KR BODAVULA


Address: 5600 Mexico Rd Ste 21, Saint Peters, MO 63376-1660
Phone: 6363739882

DR. VENKATA KR BODAVULA (NPI# 1275714784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275714784
Entity Type Individual
Full Name DR. VENKATA KR BODAVULA
Credential MD
Practice Address 5600 Mexico Rd Ste 21
Saint Peters
MO 63376-1660
Mailing Address 3394 Mckelvey Rd Ste 115
Bridgeton
MO 63044-2531
Practice Telephone 6363739882
Mailing Telephone 6363739882
Mailing Fax Number 8662833416
Enumeration Date 2007-11-27
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0105X Surgery
Specialization: Surgery of the Hand
2010007564 MO Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
6 Jungermann Cir, Suite107, Saint Peters, MO 633761621 6369281696

Office Location

Street Address 5600 MEXICO RD STE 21
City SAINT PETERS
State MO
Zip Code 63376-1660

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265634513 Vijaya Nattuvetty Vasudevan Internal Medicine 5600 Mexico Rd Ste 21, Saint Peters, MO 63376-1660 2007-05-31
1659869857 Vvasudevan LLC Internal Medicine 5600 Mexico Rd Ste 21, Saint Peters, MO 63376-1660 2018-04-24
1962675744 Boonslick Pediatrics Preferred Provider Organization 5600 Mexico Rd Ste 21, Saint Peters, MO 63376-1660 2008-04-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275047946 Nicholas Christian Schultz Dentist 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 2017-11-16
1982120093 Carol Weber Speech-Language Pathologist 166 Boone Hills Dr., St Peters, MO 63376 2017-08-21
1619424744 Forefront Dermatology, S.c. Dermatology 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 2016-09-07
1508310632 Preferred Family Healthcare, Inc. Counselor 2120 Parkway Dr, Saint Peters, MO 63376 2016-08-05
1598130676 Delta Center Personal Attendant Services In Home Supportive Care 3833 Mcclay, Suite 61, St. Peters, MO 63376 2015-12-01
1427420314 Barbara Marlene Edelman Counselor 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 2015-10-30
1255740247 Claire Williams Dentist 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 2014-08-05
1184042855 Keith Wickenhauser Internal Medicine 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 2014-03-31
1821415233 Abby Link Physician Assistant 107 Piper Parkway, #150, St. Peters, MO 63376 2014-03-24
1225452105 Ashley Gagel Physical Therapist 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 2014-02-12
Find all providers in zip 63376

Taxonomy Information

Taxonomy Code 2086S0105X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgery of the Hand

Taxonomy Definition

A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740616705 Andrew J. Kochevar, Md, Pllc Surgery 3306 Vista Ave, Saint Louis, MO 63104-1106 2013-09-23
1699766980 Subbarao Polineni Surgery 6 Jungerman Cir, Ste 107, St Peters, MO 63376 2005-11-04
1235659061 Colin William Mcinnes Surgery One Barnes Jewish Hospital Plaza, Saint Louis, MO 63110 2017-06-22
1154561538 Jeffrey Mark Pike Surgery 4921 Parkview Pl, Ste 6a, Saint Louis, MO 63110-1032 2009-02-25
1801099841 Surgery Specialist of St. Louis Surgery 1035 Bellevue Ave, Suite 203, Saint Louis, MO 63117-1854 2007-06-07
1447472519 Midwest Special Surgery, P.C. Surgery 830 Waterbury Falls Dr, O Fallon, MO 63368-2215 2007-05-02
1497974075 St Louis University Surgery 1755 S Grand Blvd, Saint Louis, MO 63104-1540 2007-04-24
1508997529 Nicole S Schroeder Surgery 4921 Parkview Pl, Ste 6a, Saint Louis, MO 63110-1032 2007-03-08
1184779399 Tony E Sudekum Surgery 830 Waterbury Falls Dr, O Fallon, MO 63368-2215 2007-01-25
1639192123 Scott Alan Langford Surgery 120 Ne Saint Lukes Blvd Ste 200, Lees Summit, MO 64086-6011 2006-07-25
Find all providers with the same taxonomy

Competitor

Search similar providers

City SAINT PETERS
Zip Code 63376

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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