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Dr. Shalini Bongu, MD
Student in an Organized Health Care Education/Training Program in St Louis, Missouri
NPI 1720498629

Shalini Bongu is a Student in an Organized Health Care Education/Training Program based in Orlando, MO. Shalini Bongu practices in St Louis, MO and has the professional credentials of MD. The NPI Number for Shalini Bongu is 1720498629 and holds a License No. (Missouri).

The current practice location address for Shalini Bongu is 6420 Clayton Road, St Louis, MO and can be reached out via phone at 706-910-5009.

Location: 6420 Clayton Road, St Louis, MO, 32814-6445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720498629
Provider Name
Shalini Bongu
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
6420 Clayton Road, St Louis, MO, 32814-6445
Phone Number
706-910-5009
Fax Number
Provider Enumeration Date
04/30/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6420 Clayton Road
City
St Louis
State
Missouri
Zip
63117
Phone Number
706-910-5009
Fax Number
person
Provider Business Mailing Address Details
Address
6420 Clayton Road
City
St Louis
State
Missouri
Zip
63117
Phone Number
706-910-5009
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.
()
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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