Bandaru, Harathi

Bandaru, Harathi is an sole proprietor health care provider with primary practice located at 1125 Madison St , Jefferson City MO 65101-5227. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Bandaru, Harathi can be contacted via phone (573) 632-5570.

Contact Information

Primary practice address
1125 Madison St Jefferson City MO 65101-5227
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2014006971 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X P1439 Texas
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2014006971 Missouri

Profile Details

NPI number 1629229935
LBN Legal business name Bandaru, Harathi
Credentials MD, MS, FACG, FACP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2008
Last updated Jun 10th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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