| Doctor Name: | DR. SUBBARAO POLINENI |
| NPI Number: | 1699766980 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | R7957 |
| Business Practice Address: | 6 Jungerman Cir Ste 107 St Peters, MO - 63376 |
| Business Phone Number: | 6369281696 |
| Business Fax Number: | 6369283115 |
| Mailing Address: | 6 Jungerman Cir, Ste 107 ST PETERS |
| State: | MO |
| Postal Code: | 63376 |
| Phone Number: | 6369281696 |
| Fax Number: | 6369283115 |
| NPI Enumeration Date: | 11/04/2005 |
| NPI Last Update Date: | 11/21/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0105X |
| License Number: | R7957 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Surgery of the Hand |
| Taxonomy Definition: | A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |