Edupuganti, Mohan Mallikarjuna

Edupuganti, Mohan Mallikarjuna is an individual health care provider with primary practice located at 901 Patients First Dr Ste 2500 , Washington MO 63090. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Edupuganti, Mohan Mallikarjuna can be contacted via phone (636) 239-2711.

Contact Information

Primary practice address
901 Patients First Dr Ste 2500 Washington MO 63090
Phone: (636) 239-2711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X E9506 Arkansas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 2018042912 Missouri

Profile Details

NPI number 1164737490
LBN Legal business name Edupuganti, Mohan Mallikarjuna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2010
Last updated Feb 11th, 2019 - 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.

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