Individual
RAJESH BANDERUDRAPPAGARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3850 S NATIONAL AVE STE 520, SPRINGFIELD, MO 65807-5230
(417) 875-3000
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036142066
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200090386
—
MO
Enumeration date
08/05/2011
Last updated
12/28/2020
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