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Dr. Venkata R Devineni, MD
Radiation Oncology Physician in Bridgeton, Missouri
NPI 1972511590

Venkata R Devineni is a Radiation Oncology Physician based in Saint Louis, MO and is specialized in Radiation Oncology. Venkata R Devineni practices in Bridgeton, MO and has the professional credentials of MD. The NPI Number for Venkata R Devineni is 1972511590 and holds a License No. R9245 (Missouri).

The current practice location address for Venkata R Devineni is 12303 De Paul Dr, Bridgeton, MO and can be reached out via phone at 314-344-6090 and via fax at 314-344-6093.

Location: 12303 De Paul Dr, Bridgeton, MO, 63131-3130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972511590
Provider Name
Venkata R Devineni
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12303 De Paul Dr, Bridgeton, MO, 63131-3130
Phone Number
314-344-6090
Fax Number
314-344-6093
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
206831711 05 MO
institution
Provider Business Practice Location Address Details
Address
12303 De Paul Dr
City
Bridgeton
State
Missouri
Zip
63044-2512
Phone Number
314-344-6090
Fax Number
314-344-6093
person
Provider Business Mailing Address Details
Address
12303 De Paul Dr
City
Bridgeton
State
Missouri
Zip
63044-2512
Phone Number
314-344-6090
Fax Number
314-344-6093
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
R9245 (Missouri)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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