SearchMissouri1041C0700X

Fredrick Devaraj

NPI 1457249187 · on the registry since 2025 · sole proprietor

Practice

Address
7316 Balson Ave
University City, MO 63130
Phone
(636) 432-4783

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri