person
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. You can also correspond with Shalini Bongu through the mailing address at 1442 COMMON WAY RD, ORLANDO, FL - 32814-6445 (mailing address contact number: 706-910-5009).

Location: 6420 Clayton Road, St Louis, MO, 32814-6445
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
State
Zip
63117
Phone Number
706-910-5009
Fax Number
person
Provider Business Mailing Address Details
Address
1442 Common Way Rd
City
State
Zip
32814-6445
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
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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