Dr. Mitra B Boodram, MD
Dr. Mitra B Boodram, MD is a Diagnostic Radiology in Saint Louis, Missouri. Qualified in 1989, 37 years ago. Practices with Washington University, a 2,986-clinician group and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 37
- Licensed in
- MO
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
11133 Dunn Rd Dept RadiologySaint Louis, MO 63136-6163
Phone: (314) 362-7200
Fax: (314) 747-4189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neuroradiology Physician (primary) | Taxonomy 2085N0700X · Licence 110362 (MO) |
|---|---|
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence 110362 (MO) |
Record details
| NPI number | 1174537039 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 28, 2006 |
| Last updated in NPPES | April 15, 2025 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 1989 (37 years in practice) |
| Group practice | Washington University — 2986 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |
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Dr. Jackson Wyatt Boice, MD
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Dr. Edward Jan Bok, MD
510 S Kingshighway Blvd Dept Radiology, Saint Louis, MO 63110-1016 · (314) 362-7200
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Dr. Louis Matthew Bonacorsi, MD
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Dr. Joseph Emil Boyle, MD
510 S Kingshighway Blvd Dept Radiology, Saint Louis, MO 63110-1016 · (314) 362-7200
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Dr. John William Braun, DO
510 S Kingshighway Blvd Dept Radiology, Saint Louis, MO 63110-1016 · (314) 362-7200
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Dr. Jennie Esther Brodsky, MD
510 S Kingshighway Blvd Dept Radiology, Saint Louis, MO 63110-1016 · (314) 362-7200
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Dr. Jordan Michael Brown, MD
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