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Dr. Kalugotla N Shivaram, MD
Pediatrics Physician in Wentzville, Missouri
NPI 1619959137

Kalugotla N Shivaram is a Pediatrics Physician based in Creve Coeur, MO. Kalugotla N Shivaram practices in Wentzville, MO and has the professional credentials of MD. The NPI Number for Kalugotla N Shivaram is 1619959137 and holds a License No. 036086751 (Missouri).

The current practice location address for Kalugotla N Shivaram is 1111 W Pearce Blvd, Wentzville, MO and can be reached out via phone at 636-887-4288 and via fax at 636-639-2368.

Location: 1111 W Pearce Blvd, Wentzville, MO, 63141-3201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619959137
Provider Name
Kalugotla N Shivaram
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1111 W Pearce Blvd, Wentzville, MO, 63141-3201
Phone Number
636-887-4288
Fax Number
636-639-2368
Provider Enumeration Date
11/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
207245606 05 MO
036086751 05 IL
institution
Provider Business Practice Location Address Details
Address
1111 W Pearce Blvd
City
Wentzville
State
Missouri
Zip
63385-1020
Phone Number
636-887-4288
Fax Number
636-639-2368
person
Provider Business Mailing Address Details
Address
1111 W Pearce Blvd
City
Wentzville
State
Missouri
Zip
63385-1020
Phone Number
636-887-4288
Fax Number
636-639-2368
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
111383 (Missouri)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Pediatric Emergency Medicine
Taxonomy
207PP0204X
License No.
111383 (Missouri)
Definition
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
036086751 (Illinois)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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