National Provider Identifier Database

NARAYANA G MEMULAMDPC
Radiation Oncology

January 1, 2025 - Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.


Contact Information

NARAYANA G MEMULA,MDPC
2620 N WESTWOOD BLVD
CANCER CENTER
POPLAR BLUFF, MO63901-3396
Phone: 573-785-7721
Fax:
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0203X

* Indicates primary specialty

NPI Profile & details for NARAYANA G MEMULA,MDPC

NPI Number 1972516672
Legal business name
LBN
NARAYANA G MEMULA,MDPC
Authorized official NARAYANA MEMULA - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/14/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers 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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