Individual
HARATHI BANDARU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MS, FACG, FACP
Contact information
Practice address
105 FAR WEST DR STE 201, SAINT JOSEPH, MO 64506-3514
(816) 271-8182
(816) 271-0818
Mailing address
105 FAR WEST DR STE 201, SAINT JOSEPH, MO 64506-3514
(816) 271-8182
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2014006971
MO
207R00000X
Internal Medicine Physician
P1439
TX
2084N0400X
Neurology Physician
Primary
2014006971
MO
Other
Enumeration date
10/06/2008
Last updated
09/20/2024
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