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KAVITHA KOSURI D.O. NPI 1215981766


NPI Information

NPI: 1215981766
Provider Name: KAVITHA KOSURI, D.O.
Classification: Internal Medicine - 207RX0202X
Entity Type: Individual

Specialization: Medical Oncology

PECOS Registration: Yes

Address:
607 S NEW BALLAS RD
SUITE 3300
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 251-4400
Get Directions

Kavitha Kosuri, D.O. is a medical oncology internal medicine in Saint Louis, MO with 24 years of experience. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. Kavitha Kosuri, D.O. NPI is 1215981766. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduation Year:2000

The provider's business location address is:

607 S NEW BALLAS RD
SUITE 3300
SAINT LOUIS, MO
ZIP 63141-222
Phone: (314) 251-4400
Fax: (314) 251-6375

The NPI 1215981766 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 5/20/2006 and was last updated on 4/29/2015.


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
1207RX0202XInternal MedicineMedical Oncology34008023OHIONo
2207RX0202XInternal MedicineMedical OncologyR6A19MISSOURIYes

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
1P01351475OTHERMISSOURIRAILROAD MEDICARE
2MA4922007MEDICARE PINMISSOURI
326597070MEDICAIDOHIO
41215981766MEDICAIDMISSOURI
5KO4183351MEDICARE PINOHIO
6I53332MEDICARE UPINOHIO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.