Individual
DR. KIRAN BABU BANDARU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2600
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2013017443
MO
208M00000X
Hospitalist Physician
Primary
2013017443
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376721209
—
MO
01
—
431560263
TRICARE
MO
01
—
P01246683
RR MCR
MN
Enumeration date
02/01/2008
Last updated
05/08/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us