Pendurthi, Madhu Kalyan
Pendurthi, Madhu Kalyan is an individual health care provider with primary practice located at 1229 E Seminole St , Springfield MO 65804-2227. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Pendurthi, Madhu Kalyan can be contacted via phone (417) 888-5696.Contact Information
Primary practice address
1229 E Seminole St
Springfield MO 65804-2227
Phone: (417) 888-5696
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 6620 | Nebraska |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 2016039967 | Missouri |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | BP10048662 | Texas |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | BP10048662 | Texas |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 2016039967 | Missouri |
Profile Details
| NPI number | 1750661286 |
|---|---|
| LBN Legal business name | Pendurthi, Madhu Kalyan |
| Credentials | MBBS MPH, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2011 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1750661286 | NPPES |
| Missouri | MEDICAID | PENDING | |
| Missouri | MEDICAID | PENDING | |
| Missouri | MEDICAID | PENDING | |
| Missouri | Other | PENDING |
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