Kanakamedala, Madhava Rao

Kanakamedala, Madhava Rao is an individual health care provider with primary practice located at 1000 S Coulter St Ste 100 , Amarillo TX 79106-1781. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Kanakamedala, Madhava Rao can be contacted via phone (806) 358-8654.

Contact Information

Primary practice address
1000 S Coulter St Ste 100 Amarillo TX 79106-1781
Phone: (806) 358-8654
Fax: (806) 356-8687
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 208512947 Mississippi

Profile Details

NPI number 1013158013
LBN Legal business name Kanakamedala, Madhava Rao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2009
Last updated Jan 8th, 2020 - about 6 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 1013158013 NPPES
Texas MEDICAID 404425701
Texas MEDICAID 04978239
Texas Other P01580613

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