PRAJWAL BASANNA KERANALLI

SAINT LOUIS, MO
NPI1043906894
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-14
Last Update Date2023-04-24
Business Address
PRAJWAL BASANNA KERANALLI MD
1201 S GRAND BLVD
SAINT LOUIS, MO 63104-1016
Phone number: 314-617-3749
Mailing Address
PRAJWAL BASANNA KERANALLI MD
105 SWEET CHERRY WAY
WILDWOOD, MO 63040-2146
Phone number: 301-728-9565
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