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NPI Code Detail

MEDICARE: DR. UDAYSHANKER KASINADHUNI MD

MEDICARE: DR. UDAYSHANKER KASINADHUNI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianR7A43MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659374908
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. UDAYSHANKER KASINADHUNI MD
Provider Business Mailing Address
First Line : PO BOX 22407
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63126-0407
Country : US
Telephone Number : 636-386-7222
Fax Number : 636-200-4036
Provider Business Practice Location Address
First Line : 10010 KENNERLY RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63128-2106
Country : US
Telephone Number : 636-386-7222
Fax Number : 636-200-4036
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 03/18/2016

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