Provider Demographics
NPI:1487230884
Name:AKULA MOGALAPALLI, HARSHA VENKATA (MD)
Entity Type:Individual
Prefix:DR
First Name:HARSHA VENKATA
Middle Name:
Last Name:AKULA MOGALAPALLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HARSHA
Other - Middle Name:
Other - Last Name:AKULA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:WUSM PEDS, 1 CHILDRENS PL MSC 8208-0016-06
Mailing Address - Street 2:
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110
Mailing Address - Country:US
Mailing Address - Phone:314-454-6050
Mailing Address - Fax:855-887-7850
Practice Address - Street 1:WUSM PEDS, 1 CHILDRENS PL MSC 8208-0016-06
Practice Address - Street 2:
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110
Practice Address - Country:US
Practice Address - Phone:314-454-6050
Practice Address - Fax:855-887-7850
Is Sole Proprietor?:No
Enumeration Date:2021-03-24
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MO202102444208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program