Individual provider · Type 1 NPI
Venkata KR Bodavula, MD
Surgery of the Hand (Surgery) Physician · St. Peters, MO
NPI number
1275714784
Active
Practice location
5600 Mexico Rd Ste 21
St. Peters, MO 63376-1660
Mailing address
3394 Mckelvey Rd Ste 115
Bridgeton, MO 63044-2531
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery of the Hand (Surgery) Physician Primary | 2086S0105X | 2010007564 (MO) |
Surgery of the Hand (Surgery) Physician: 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.
Another provider at this address
Other surgery of the hand (surgery) physician providers in St. Peters
About NPI 1275714784
Venkata KR Bodavula, MD's National Provider Identifier is 1275714784, issued on Nov 27, 2007. The primary taxonomy on file is Surgery of the Hand (Surgery) Physician (2086S0105X), and the practice location is in St. Peters, MO. The record was last updated on Mar 9, 2021.