Provider Demographics
NPI:1154536100
Name:RAMANUJA, REKHA (MD)
Entity type:Individual
Prefix:
First Name:REKHA
Middle Name:
Last Name:RAMANUJA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1220 N LINDBERGH BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63132-1704
Mailing Address - Country:US
Mailing Address - Phone:314-473-1394
Mailing Address - Fax:314-427-2682
Practice Address - Street 1:1220 N LINDBERGH BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63132-1704
Practice Address - Country:US
Practice Address - Phone:314-473-1394
Practice Address - Fax:314-427-2682
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-13
Last Update Date:2014-08-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO20100074052084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry