Individual
PRATHYUSHA PAGADALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 OLATHE, KANSAS CITY, KS 66160-2806
(913) 588-6022
Mailing address
2000 OLATHE, KANSAS CITY, KS 66160-8505
(913) 588-6022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-48210
KS
207R00000X
Internal Medicine Physician
2025014322
MO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
04-48210
KS
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
2025014322
MO
Other
Enumeration date
04/04/2015
Last updated
08/01/2025
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