Individual
PADMA PODDUTOORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD # MS 1020, KU MEDICAL CENTER DIV OF GENERAL & GERIATRIC MEDICINE, KANSAS CITY, KS 66160-0001
(913) 588-6005
(913) 588-3877
Mailing address
KANSAS UNIVERSITY PHYSICIANS INC, 3901 RAINBOW BLVD, 4070 DELP, MS 4017, KANSAS CITY, KS 66160-0001
(913) 588-2500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME 104917
FL
208M00000X
Hospitalist Physician
Primary
04-34698
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001940800
—
FL
01
—
146 L J
BCBS
FL
Enumeration date
07/31/2007
Last updated
09/13/2013
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