Individual
ANKINEEDU KAVURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 686-4151
Mailing address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 686-4151
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20546
IA
207RC0000X
Cardiovascular Disease Physician
Primary
20546
IA
Other
Enumeration date
08/23/2006
Last updated
04/15/2020
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