Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Siresha Kiran Samudrala, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1700840790

Siresha Kiran Samudrala, MD is a Physical Medicine & Rehabilitation Physician in Saint Louis, Missouri. Practices as a sole proprietor and works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Jefferson Barracks Rd
Saint Louis, MO 63125-4181
Phone: (314) 289-6314
Fax: (314) 289-7037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11155 Dunn Rd Ste 109, Saint Louis, MO 63136-6150 — (314) 273-0149

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 2003001132 (MO)

Record details

NPI number1700840790
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 14, 2006
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025

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