Kancherla, Madhu Kiran
Kancherla, Madhu Kiran is an individual health care provider with primary practice located at 10012 Kennerly Rd Ste 300 , Saint Louis MO 63128-2197. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kancherla, Madhu Kiran can be contacted via phone (314) 842-0602.Contact Information
Primary practice address
10012 Kennerly Rd Ste 300
Saint Louis MO 63128-2197
Phone: (314) 842-0602
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 103619 | Missouri |
Profile Details
| NPI number | 1942209036 |
|---|---|
| LBN Legal business name | Kancherla, Madhu Kiran |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Jan 18th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942209036 | NPPES |
| Missouri | MEDICAID | 204631212 | |
| Missouri | MEDICAID | 204631204 |
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