OrganizationActive
Id Consultants, PC
NPI 1255361127 · Infectious Disease Physician · Festus, MO
Provider details
- NPI number
- 1255361127
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chandra Dommaraju, Owner(636) 933-2344
- License
- MO106962 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1390 US Highway 61
Suite G1500
Festus, MO 63028-4137
Phone: (636) 933-2344
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 29197
Saint Louis, MO 63126-0197
Other names (DBA / former)
- Other name
- Dommaraju, PC
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.