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Search › Missouri › 207RI0011X

Mohan Palla, M.D

NPI 1477998896 · on the registry since 2013

Practice

Address
1011 Bowles Ave Ste 300
Fenton, MO 63026
Phone
(636) 496-5065
Organisation at this address
Ssm Medical Group
Loup Dialysis Llc
Ssm Medical Group
Ssm Medical Group Inc.
Faris Al-Gebory Md Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
67

Additional practice sites

  • 12502 Willowbrook Rd, Cumberland, MD
  • 12500 Willowbrook Rd, Cumberland, MD
  • 619 E Mason St Ste 4p57, Springfield, IL
  • 4201 Saint Antoine St, Detroit, MI

Registry record

Primary taxonomy
207RI0011X
207RI0011X
Also registered as
207R00000X
207R00000X
207RC0000X
207RC0000X
207RI0011X
207RI0011X
207RI0011X
207RI0011X
390200000X
Licence states on file
MD, IL, ND, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-11

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