Dr. Malathi Tadakamalla
Family Doctor - Geriatric Medicine
600 Ne Meadowview Dr
Lees Summit
, Missouri 64064-1983
Dr. Malathi Tadakamalla
Family Doctor - Geriatric Medicine
600 Ne Meadowview Dr
Lees Summit
, Missouri 64064-1983
(913) 674-5563
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Malathi Tadakamalla
- Po Box 219209
- Kansas City, MO
- Zip : 64121-9209
- Fax : (913) 674-5563
- Phone : (913) 226-7332
Second Address
- Dr. Malathi Tadakamalla
- 600 Ne Meadowview Dr
- Lees Summit, MO
- Zip : 64064-1983
- Fax : (913) 674-5563
- Phone : (913) 226-7332
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 2009003023 | MO |
National Provider Identifier
| NPI | 1316989197 |
|---|---|
| Provider Name | Dr. Malathi Tadakamalla |
| First Address | Kansas City, MO 64121-9209 |
| Second Address | Lees Summit, MO 64064-1983 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2006 |
| Last Update Date | 14/05/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| MA3153001, | MEDICARE PTAN (01) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.