Provider Demographics
NPI:1033346838
Name:CHUNDURI, SVETHA (MD)
Entity Type:Individual
Prefix:
First Name:SVETHA
Middle Name:
Last Name:CHUNDURI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:224 S WOODS MILL RD # 404S
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3513
Mailing Address - Country:US
Mailing Address - Phone:314-682-6500
Mailing Address - Fax:314-552-7276
Practice Address - Street 1:224 S WOODS MILL RD # 404S
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3513
Practice Address - Country:US
Practice Address - Phone:314-682-6500
Practice Address - Fax:314-552-7276
Is Sole Proprietor?:No
Enumeration Date:2009-06-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036.130551207RN0300X
MO2017017022207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology