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Dr. Rahul Pedagandham
Student in an Organized Health Care Education/Training Program in Bridgeton, Missouri
NPI 1447954730

Rahul Pedagandham is a Student in an Organized Health Care Education/Training Program based in Lithia, MO. Rahul Pedagandham practices in Bridgeton, MO. The NPI Number for Rahul Pedagandham is 1447954730 and holds a License No. (Missouri).

The current practice location address for Rahul Pedagandham is 12303 De Paul Dr, Bridgeton, MO and can be reached out via phone at 344-314-6000.

Location: 12303 De Paul Dr, Bridgeton, MO, 33547-3924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447954730
Provider Name
Rahul Pedagandham
Credential
Provider Entity Type
Individual
Gender
Male
Address
12303 De Paul Dr, Bridgeton, MO, 33547-3924
Phone Number
344-314-6000
Fax Number
Provider Enumeration Date
03/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12303 De Paul Dr
City
Bridgeton
State
Missouri
Zip
63044-2512
Phone Number
344-314-6000
Fax Number
person
Provider Business Mailing Address Details
Address
12303 De Paul Dr
City
Bridgeton
State
Missouri
Zip
63044-2512
Phone Number
344-314-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Missouri)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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