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Individual

BHARATH KUMAR REDDY NANDIMANDALAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
701 VETERANS UNITED DR, COLUMBIA, MO 65201-8603
(573) 884-6052
(573) 884-1151
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2018039698
MO
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2018039698
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200030701
MO
Enumeration date
01/27/2014
Last updated
04/21/2026
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