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KALUGOTLA SHIVARAM, MD

MD

Emergency Medicine Physician

NPI: 1619959137Individual

Specialties, Licenses & Credentials

Emergency Medicine PhysicianPrimary

Emergency Medicine

Code: 207P00000X

036086751(IL)111383(MO)
Pediatric Emergency Medicine (Emergency Medicine) Physician

Emergency Medicine — Pediatric Emergency Medicine

Code: 207PP0204X

111383(MO)
Pediatrics Physician

Pediatrics

Code: 208000000X

111383(MO)

CMS Specialties

PrimaryEMERGENCY MEDICINE

Additional

PEDIATRIC MEDICINE

Education

OTHER

Class of 1989

Contact & Hours

Address
1111 W PEARCE BLVD
WENTZVILLE, MO 63385

Location

Practice Location

1111 W PEARCE BLVD, WENTZVILLE, MO
(636) 887-4288

Quick Facts

NPI
1619959137
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
4
Locations
1
Years in Practice
37

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