| Doctor Name: | SHAILAJA ATHOTA BELLARD |
| NPI Number: | 1740488444 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 2006018691 |
| Business Practice Address: | 17050 Baxter Rd Ste 110 Dept. Of Anesthesia Chesterfield, MO - 630051422 |
| Business Phone Number: | 6362004242 |
| Business Fax Number: | 6362004243 |
| Mailing Address: | 351 Consort Dr, BALLWIN |
| State: | MO |
| Postal Code: | 630114439 |
| Phone Number: | 6362004242 |
| Fax Number: | 6362004243 |
| NPI Enumeration Date: | 07/05/2007 |
| NPI Last Update Date: | 03/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 2006018691 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |