Individual
UMA KALYANI EDUPUGANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3800 S NATIONAL AVE, SUITE 510, SPRINGFIELD, MO 65807-5209
(417) 875-3000
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
2016007357
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548455918
—
MO
05
—
200033721
—
MO
Enumeration date
09/10/2007
Last updated
12/27/2018
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