Individual
NARAYANA RAO ADUSUMILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 EAST 5TH STREET, FULTON STATE HOSPITAL, FULTON, MO 65251
(573) 592-4100
(573) 592-3023
Mailing address
600 EAST 5TH STREET, FULTON, MO 65251
(573) 592-4100
(573) 592-3023
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MDR4B31
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201541026
—
MO
Enumeration date
08/11/2006
Last updated
08/20/2009
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