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RAMULU SAMUDRALA MD PC NPI 1154664951


NPI Information

NPI: 1154664951
Provider Name: RAMULU SAMUDRALA MD PC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
11125 DUNN RD
SUITE 311
SAINT LOUIS, MO
ZIP 63136
Phone: (314) 355-7880
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RAMULU SAMUDRALA MD PC is an ophthalmology in Saint Louis, MO. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. RAMULU SAMUDRALA MD PC NPI is 1154664951. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11125 DUNN RD
SUITE 311
SAINT LOUIS, MO
ZIP 63136-132
Phone: (314) 355-7880
Fax: (314) 355-8899

The provider's authorized official is Marina Mcroy .
The authorized official title is Office Manager and has the following contact phone number (314) 487-0241.

The enumeration date for this NPI number is 3/29/2013 and was last updated on 3/29/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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