| NPI | 1255361127 |
|---|---|
| Other Name | DOMMARAJU, PC |
| Entity Type | Organization |
| Authorized Contact | CHANDRA B DOMMARAJU Owner 636-933-2344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO MO106962) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |