| S Battula Md Llc | |
|
5700 Mexico Rd Ste 8 Saint Peters MO 63376-1667 | |
| (636) 477-6464 | |
| (636) 410-9291 |
| Full Name | S Battula Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5700 Mexico Rd Ste 8, Saint Peters, Missouri |
| Authorized Official Name and Position | Srinivas Battula (OWNER) |
| Authorized Official Contact | 6364776464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S Battula Md Llc 5700 Mexico Rd Ste 8 Saint Peters MO 63376-1667 Ph: (636) 477-6464 | S Battula Md Llc 5700 Mexico Rd Ste 8 Saint Peters MO 63376-1667 Ph: (636) 477-6464 |
| NPI Number | 1669487799 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 01/12/2021 |
| Certification Date | 01/12/2021 |
| Medicare PECOS PAC ID | 1951304062 |
|---|---|
| Medicare Enrollment ID | O20060810000236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669487799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2006009277 (Missouri) | Primary |
| Provider Name | Srinivas Battula |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093729311 PECOS PAC ID: 2466455563 Enrollment ID: I20060810000071 |
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