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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 Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for SOMBABU N MAGANTI · (Male)

NPI # 1407142474
Status Active
Credentials MD
Entity Individual
Enumeration date 06/28/2011
Last updated 03/20/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2011022935
  • NJ License # 25MA08817500
  • AR Medicaid 188731001
  • MO Medicaid 1407142474
  • MO Other P00990413 RR MCR
Hospital affiliation(s)
  • MERCY HOSPITAL CASSVILLE - (Critical Access)
    94 MAIN STREET
    CASSVILLE, MO 65625
  • MERCY HOSPITAL LEBANON - (Acute Care)
    100 HOSPITAL DRIVE
    LEBANON, MO 65536
  • MERCY HOSPITAL SPRINGFIELD - (Acute Care)
    1235 E CHEROKEE
    SPRINGFIELD, MO 65804
  • MERCY ST FRANCIS HOSPITAL - (Critical Access)
    100 WEST HIGHWAY 60, PO BOX 82
    MOUNTAIN VIEW, MO 65548
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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