Individual provider · Type 1 NPI

Shalini Bongu, MD

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1720498629 Active

Practice location

6420 Clayton Road, St Mary's Health Center
St. Louis, MO 63117

Call (706) 910-5009 Map

Mailing address

1442 Common Way Rd, Apt 203
Orlando, FL 32814-6445

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1720498629

Shalini Bongu, MD's National Provider Identifier is 1720498629, issued on Apr 30, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 30, 2014.