Healthcare Provider Details

I. General information

NPI: 1285556597
Provider Name (Legal Business Name): SINDHU KONDAMU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6675 HOLMES RD STE 450
KANSAS CITY MO
64131-1173
US

IV. Provider business mailing address

7510 W 136TH PL APT 305
OVERLAND PARK KS
66223-7309
US

V. Phone/Fax

Practice location:
  • Phone: 913-454-8329
  • Fax:
Mailing address:
  • Phone: 984-403-3023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number2026031038
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: