DEEPTHI BUSAYAVALASA

SAINT LOUIS, MO
NPI1174971469
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RH0003X Internal Medicine, Hematology & Oncology
(Licence: MO  2019014568)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IL  125068035)
Enumeration Date2016-05-27
Last Update Date2022-08-19
Business Address
Dr. DEEPTHI BUSAYAVALASA MD
6435 CHIPPEWA ST
SAINT LOUIS, MO 63109-2104
Phone number: 314-353-1870
Mailing Address
Dr. DEEPTHI BUSAYAVALASA MD
6435 CHIPPEWA ST
SAINT LOUIS, MO 63109-2104
Phone number: 314-353-1870