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
Phone: (573) 632-5570
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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