Tadakamalla, Srinath

Tadakamalla, Srinath is an individual health care provider with primary practice located at 3001 E Elm St , Harrisonville MO 64701. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Tadakamalla, Srinath can be contacted via phone (816) 813-7027.

Contact Information

Primary practice address
3001 E Elm St Harrisonville MO 64701
Phone: (816) 813-7027
Fax: (913) 674-5563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2005025981 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2005025981 Missouri
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 2005025981 Missouri

Profile Details

NPI number 1184691305
LBN Legal business name Tadakamalla, Srinath
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Mar 7th, 2023 - about 3 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 1184691305 NPPES
Missouri MEDICAID 207472903

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