Individual
MOHAN MALLIKARJUNA EDUPUGANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 PATIENTS FIRST DR STE 2500, WASHINGTON, MO 63090
(636) 239-2711
Mailing address
901 PATIENTS FIRST DR STE 2500, WASHINGTON, MO 63090-4700
(636) 239-2711
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35133
OK
207RI0011X
Interventional Cardiology Physician
Primary
2018042912
MO
207RI0011X
Interventional Cardiology Physician
E9506
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/11/2010
Last updated
03/02/2026
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