Parvathaneni, Soubhagyalakshmi

Parvathaneni, Soubhagyalakshmi is an individual health care provider with primary practice located at 1900 S National Ave Suite 3600, Springfield MO 65804-2265. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Parvathaneni, Soubhagyalakshmi can be contacted via phone (417) 820-3911.

Contact Information

Primary practice address
1900 S National Ave Suite 3600 Springfield MO 65804-2265
Fax: (417) 820-3924
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35084650 Ohio

Profile Details

NPI number 1235192253
LBN Legal business name Parvathaneni, Soubhagyalakshmi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Feb 5th, 2008 - about 18 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 1235192253 NPPES
Missouri MEDICAID 207478405
Missouri Other P00428673
Missouri MEDICAID 2521033
Missouri Other P00164228

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