Nagotu Kambagiri, Sharada
Nagotu Kambagiri, Sharada is an individual health care provider with primary practice located at 1235 E Cherokee St , Springfield MO 65804-2203. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Nagotu Kambagiri, Sharada can be contacted via phone (417) 820-2600.Contact Information
Primary practice address
1235 E Cherokee St
Springfield MO 65804-2203
Phone: (417) 820-2600
Fax: (417) 820-2100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036126351 | Illinois |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036126351 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2014044152 | Missouri |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2014044152 | Missouri |
Profile Details
| NPI number | 1629381611 |
|---|---|
| LBN Legal business name | Nagotu Kambagiri, Sharada |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2010 |
| Last updated | May 8th, 2017 - about 7 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 | 1629381611 | NPPES |
| Missouri | MEDICAID | 1629381611 |
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