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:
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Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386170181 NPPES
Missouri MEDICAID 200062613

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