Samudrala, Ramulu

Samudrala, Ramulu is an sole proprietor health care provider with primary practice located at 11155 Dunn Rd Ste 206E, Saint Louis MO 63136-6149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Samudrala, Ramulu can be contacted via phone (314) 355-7880.

Contact Information

Primary practice address
11155 Dunn Rd Ste 206E Saint Louis MO 63136-6149
Phone: (314) 355-7880
Fax: (314) 355-8899
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X R6643 Missouri

Profile Details

NPI number 1588628986
LBN Legal business name Samudrala, Ramulu
Credentials P.C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2006
Last updated Sep 21st, 2017 - about 8 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588628986 NPPES
Missouri MEDICAID 201086105

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