Banderudrappagari, Rajesh

Banderudrappagari, Rajesh is an sole proprietor health care provider with primary practice located at 3850 S National Ave Ste 520 , Springfield MO 65807-5230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Banderudrappagari, Rajesh can be contacted via phone (417) 875-3000.

Contact Information

Primary practice address
3850 S National Ave Ste 520 Springfield MO 65807-5230
Phone: (417) 875-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 036142066 Illinois

Profile Details

NPI number 1093094260
LBN Legal business name Banderudrappagari, Rajesh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2011
Last updated Dec 28th, 2020 - about 4 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1093094260 NPPES
Missouri MEDICAID 200090386

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