MALLIKARJUNA BAGEWADI ELLUR

ROLLA, MO
NPI1790125615
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MO  2017006920)
Enumeration Date2013-06-25
Last Update Date2023-10-27
Business Address
Dr. MALLIKARJUNA BAGEWADI ELLUR M.D.,
1000 W 10TH ST
ROLLA, MO 65401-2905
Phone number: 573-458-8899
Mailing Address
Dr. MALLIKARJUNA BAGEWADI ELLUR M.D.,
1050 W 10TH ST ATTN: EXECUTIVE DIRECTOR OF PHYSICIAN CLINICS
ROLLA, MO 65401
Phone number: 573-364-9000