Radha Krishna Popuri

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

2010006852 Issued in MO

Practice address

510 S Kingshighway Blvd
Campus Box 8131, Mallinckrodt Institute of Radiology
Saint Louis, MO 63110-1016

Phone

(314) 362-2900

Fax

(314) 362-2276

NPI assigned

Jul 28, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1134433543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S KINGSHIGHWAY BLVD",
            "address_2": "CAMPUS BOX 8131, MALLINCKRODT INSTITUTE OF RADIOLOGY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101016",
            "telephone_number": "314-362-2900",
            "fax_number": "314-362-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S KINGSHIGHWAY BLVD",
            "address_2": "CAMPUS BOX 8131, MALLINCKRODT INSTITUTE OF RADIOLOGY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101016",
            "telephone_number": "314-362-2900",
            "fax_number": "314-362-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPURI",
        "first_name": "RADHA KRISHNA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2010006852",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MO",
            "license": "2010006852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Popkowski, DDS
• Simisolaoluwa Ademide Popoola, MD
• Emily S Popovic, DO
• Dennis A. Popp, M.D.
• Cristian Popu, MD
• Hannah A Porcella, PLPC
• Tyronia Patricia Porchia
• Arie V Poremba, PT
• Rafael Porfirio de Aguiar
• Heather L Poropat, AGNP

• Vascular & Interventional Radiology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Vascular & Interventional Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.