Provider Demographics
NPI:1487962494
Name:MARAPAREDDIGARI, PARTHASARATHI R (MD)
Entity type:Individual
Prefix:
First Name:PARTHASARATHI
Middle Name:R
Last Name:MARAPAREDDIGARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5325 FARAON ST
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-3488
Mailing Address - Country:US
Mailing Address - Phone:816-271-6406
Mailing Address - Fax:816-271-7986
Practice Address - Street 1:615 S NEW BALLAS RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8221
Practice Address - Country:US
Practice Address - Phone:314-251-6339
Practice Address - Fax:314-251-4564
Is Sole Proprietor?:No
Enumeration Date:2010-09-24
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2010033579208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1487962494Medicaid
MOP01397309OtherRAILROAD MEDICARE
MOP01273955OtherRAILROAD MEDICARE
MOP01316004OtherRAILROAD MEDICARE
MOP01399997OtherRAILROAD MEDICARE
MOMA4754004Medicare PIN
MO133890162Medicare PIN
MOP01273955OtherRAILROAD MEDICARE
MOMA1237016Medicare PIN