Dandamudi, Raja Sekhar
Dandamudi, Raja Sekhar is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Nephrology, Saint Louis MO 63110-1002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatric Nephrology is his primary health care specialty. Dandamudi, Raja Sekhar can be contacted via phone (314) 454-6043.Contact Information
Primary practice address
1 Childrens Pl Div Ped Nephrology
Saint Louis MO 63110-1002
Phone: (314) 454-6043
Fax: (888) 463-6898
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2020023485 | Missouri |
Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | 2020023485 | Missouri |
Profile Details
NPI number | 1386170181 |
---|---|
LBN Legal business name | Dandamudi, Raja Sekhar |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 11th, 2017 |
Last updated | Apr 25th, 2024 - about 5 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386170181 | NPPES |
Missouri | MEDICAID | 200062613 |
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