Individual provider · Type 1 NPI
Mrudula Penta, MD
Diagnostic Radiology Physician · St. Charles, MO
NPI number
1568670917
Active
Practice location
300 First Capital Drive
St. Charles, MO 63301
Fax (636) 947-5259
Mailing address
220 Compass Point Drive
St. Charles, MO 63301
Other practice locations
- 222 W 39th Ave, San Mateo, CA 94403-4364 · (650) 573-2681
- 100 S San Mateo Dr, San Mateo, CA 94401-3805 · (650) 696-4515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A130188 (CA) |
| Diagnostic Radiology Physician Primary | 2085R0202X | 2025021480 (MO) |
| Neuroradiology Physician | 2085N0700X | A130188 (CA) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1568670917
Mrudula Penta, MD's National Provider Identifier is 1568670917, issued on May 18, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in St. Charles, MO. The record was last updated on Oct 1, 2025.