Individual
MOHAN R HINDUPUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5514 CORPORATE DR STE 150, SAINT JOSEPH, MO 64507-7752
(816) 271-1291
(816) 271-4062
Mailing address
5514 CORPORATE DR STE 150, SAINT JOSEPH, MO 64507-7763
(816) 271-1265
(816) 271-4062
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R7G44
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100207430B
—
KS
05
—
202458303
—
MO
Enumeration date
06/21/2006
Last updated
11/21/2017
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