Komanapalli, Sudarshan K

Komanapalli, Sudarshan K is an sole proprietor health care provider with primary practice located at 2525 W University Ave Suite 300, Muncie IN 47303-3421. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Komanapalli, Sudarshan K can be contacted via phone (765) 281-2000.

Contact Information

Primary practice address
2525 W University Ave Suite 300 Muncie IN 47303-3421
Phone: (765) 281-2000
Fax: (765) 281-2062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 01045001A Indiana
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 01045001A Indiana

Profile Details

NPI number 1316915911
LBN Legal business name Komanapalli, Sudarshan K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2006
Last updated May 11th, 2022 - about 4 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 1316915911 NPPES
Indiana MEDICAID 100367450A

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