DR. RAJA SEKHAR DANDAMUDI MD NPI 1386170181

NPI Information

NPI: 1386170181
Provider Name: DR. RAJA SEKHAR DANDAMUDI, MD
Classification: Pediatrics - 2080P0210X
Entity Type: Individual

Specialization: Pediatric Nephrology

PECOS Registration: Yes

Address:
1 CHILDRENS PL
DIV PED NEPHROLOGY
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 454-6043
Get Directions

DR. Raja Sekhar Dandamudi, MD is a pediatric nephrology pediatrics in Saint Louis, MO with 7 years of experience. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. DR. Raja Sekhar Dandamudi, MD NPI is 1386170181. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 CHILDRENS PL
DIV PED NEPHROLOGY
SAINT LOUIS, MO
ZIP 63110-002
Phone: (314) 454-6043
Fax: (888) 463-6898

The NPI 1386170181 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/11/2017 and was last updated on 4/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		2020023485	MISSOURI	No
2	2080P0210X	Pediatrics	Pediatric Nephrology	2020023485	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200062613	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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