NPI 1497754287

Shanu Kondamuri, MD

Practitioner Interventional Pain Medicine Physician Munster, IN

Practice location

Address: 8840 Calumet Ave Suite 103, Munster, IN 46321-2545
Phone: (219) 836-7246
Fax: (219) 836-6454

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 01045126A (IN)

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Registry record

NPI: 1497754287
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jul 2005
Record last updated: 15 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.