DR. Thulasi Ram Gogireddy, M.D.

NPI #1568725505 in Lake St Louis, Missouri

Provider Information

NPI Number: 1568725505
Entity Type: Individual
Name: DR. Thulasi Ram Gogireddy, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jun 22, 2012
Last Updated: Oct 15, 2018

Practice Location

Address: 100 MEDICAL PLZ
City: Lake St Louis
State: Missouri
ZIP Code: 63367-1366
Phone: (636) 625-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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