Organization
SANDHYA C DONEPUDI MD PC
Active
Organization
SANDHYA C DONEPUDI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDHYA C DONEPUDI MD (PRESIDENT)
(219) 663-3554
Entity
Organization
Contact information
Practice address
9128 COLUMBIA AVE, MUNSTER, IN 46321-2907
(219) 663-3554
(219) 853-0594
Mailing address
9128 COLUMBIA AVE, MUNSTER, IN 46321-2907
(219) 663-3554
(219) 853-0594
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01039622
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000342607
ANTHEM
IN
01
—
P00174796
RAILROAD MEDICARE
IN
Enumeration date
12/07/2007
Last updated
01/22/2008
Update your record
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