Mokshagundam, Deepa

Mokshagundam, Deepa is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Cardiology, Saint Louis MO 63110-1002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Mokshagundam, Deepa can be contacted via phone (314) 454-6095.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Cardiology Saint Louis MO 63110-1002
Phone: (314) 454-6095
Fax: (314) 454-2561
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2019019575 Missouri
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 2019019575 Missouri

Profile Details

NPI number 1821330465
LBN Legal business name Mokshagundam, Deepa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2013
Last updated Apr 25th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1821330465 NPPES
Missouri MEDICAID 200071003

Popular Providers