Basic Information
| Provider Information | |||||||||
| NPI: | 1457526535 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | DONEPUDI | ||||||||
| FirstName: | SREEKANTH | ||||||||
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| Credential: | MD , MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 901 E 104TH ST | ||||||||
| Address2: | MAILSTOP 400S | ||||||||
| City: | KANSAS CITY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 64131 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8162515600 | ||||||||
| FaxNumber: | 8169325793 | ||||||||
| Practice Location | |||||||||
| Address1: | 5844 NW BARRY RD STE 40 | ||||||||
| Address2: | |||||||||
| City: | KANSAS CITY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 641541483 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8168803876 | ||||||||
| FaxNumber: | 8168801050 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/29/2008 | ||||||||
| LastUpdateDate: | 03/29/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/29/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RX0202X | 2022007102 | MO | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology |
No ID Information.