DR. KALUGOTLA SHIVARAM, MD

Emergency Medicine

Active Individual
NPI: 1619959137

Practice Address

1111 W PEARCE BLVD
Wentzville, MO 63385

Phone: (636) 887-4288

Specialties

Specialty Code Primary License
Emergency Medicine 207P00000X Yes 111383 (MO)
Emergency Medicine - Pediatric Emergency Medicine 207PP0204X No 111383 (MO)
Pediatrics 208000000X No 111383 (MO)

Frequently Asked Questions

NPI 1619959137 is the National Provider Identifier for DR. KALUGOTLA SHIVARAM, MD, a Emergency Medicine provider located in Wentzville, MO. This NPI was enumerated on November 18, 2005.
DR. KALUGOTLA SHIVARAM, MD practices at 1111 W PEARCE BLVD, Wentzville, MO 63385.

Quick Facts

NPI
1619959137
Type
Individual
Enumerated
Nov 18, 2005
Last Updated
Oct 6, 2023

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