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MUKUND KOMANDURI MD SC NPI 1801903497


NPI Information

NPI: 1801903497
Provider Name: MUKUND KOMANDURI MD SC

Doing Business As: MK ORTHOPAEDICS, SURGERY & REHABILITATION

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
963 N 129TH INFANTRY DR
SUITE 100
JOLIET, IL
ZIP 60435
Phone: (815) 741-6900
Get Directions

MUKUND KOMANDURI MD SC is an orthopaedic surgery in Joliet, IL. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. MUKUND KOMANDURI MD SC NPI is 1801903497. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mk Orthopaedics, Surgery & Rehabilitation.

The provider's business location address is:

963 N 129TH INFANTRY DR
SUITE 100
JOLIET, IL
ZIP 60435-346
Phone: (815) 741-6900
Fax: (815) 741-6907

The provider's authorized official is Mukund Komanduri .
The authorized official title is Owner and has the following contact phone number (815) 741-6900.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 10/7/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic Surgery36084511ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1213003MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
25655390001MEDICARE NSCILLINOIS

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: 11/14/2023

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