National Provider Identifier Database

SOMBABU N MAGANTI, MD – NPI #1407142474
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

SOMBABU N MAGANTI, MD
2115 S FREMONT AVE
STE 3000
SPRINGFIELD, MO65804-2239
Phone: 417-820-3911
Fax: 417-820-3924
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X
Clinical Neurophysiology 2084N0600X

* Indicates primary specialty

NPI Profile & details for SOMBABU N MAGANTI

NPI Number 1407142474
Credentials MD
Entity Individual
Enumeration date 06/28/2011
Last updated 03/20/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • MO License #: 2011022935
  • NJ License #: 25MA08817500
  • AR Medicaid: 188731001
  • MO Medicaid: 1407142474
  • MO Other: P00990413 RR MCR
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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