IndividualActive
Venkata Bodavula, MD
NPI 1275714784 · Surgery of the Hand (Surgery) Physician · Saint Peters, MO
Provider details
- NPI number
- 1275714784
- Entity type
- Individual
- Primary specialty
- Surgery of the Hand (Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2010007564 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5600 Mexico Rd Ste 21
Saint Peters, MO 63376-1660
Phone: (636) 373-9882
Approximate (ZIP-level) locationGet directions
Mailing address
3394 Mckelvey Rd Ste 115
Bridgeton, MO 63044-2531
Registry dates
- Enumerated
- 2007-11-27
- Last updated
- 2021-03-09
- Certified
- 2021-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.