Madduri, Sivaprasad D
Madduri, Sivaprasad D is an sole proprietor health care provider with primary practice located at 2210 Barron Rd Suite 216, Poplar Bluff MO 63901-1908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Madduri, Sivaprasad D can be contacted via phone (573) 686-4133.Contact Information
Primary practice address
2210 Barron Rd Suite 216
Poplar Bluff MO 63901-1908
Phone: (573) 686-4133
Fax: (573) 686-1298
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | R7648 | Missouri |
Profile Details
| NPI number | 1447238035 |
|---|---|
| LBN Legal business name | Madduri, Sivaprasad D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Oct 1st, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447238035 | NPPES |
| Arkansas | Other | 108024001 | ARKANSAS MEDICAID |
| Arkansas | MEDICAID | 200297117 | ARKANSAS MEDICAID |
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