| Drramanstl LLC | |
|
16216 Baxter Rd Ste 325 Chesterfield MO 63017-4771 | |
| (636) 777-8058 | |
| (636) 777-8059 |
| Full Name | Drramanstl LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 16216 Baxter Rd Ste 325, Chesterfield, Missouri |
| Authorized Official Name and Position | Gayathri Raman (PHYSICIAN/OWNER) |
| Authorized Official Contact | 6367778058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drramanstl LLC 16216 Baxter Rd Ste 325 Chesterfield MO 63017-4771 Ph: (636) 777-8058 | Drramanstl LLC 16216 Baxter Rd Ste 325 Chesterfield MO 63017-4771 Ph: (636) 777-8058 |
| NPI Number | 1942951611 |
|---|---|
| Provider Enumeration Date | 01/14/2022 |
| Last Update Date | 01/14/2022 |
| Certification Date | 01/14/2022 |
| Medicare PECOS PAC ID | 7911392600 |
|---|---|
| Medicare Enrollment ID | O20220316000174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942951611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Gayathri Raman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568461176 PECOS PAC ID: 7618065160 Enrollment ID: I20100113000421 |
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