Krishnamraju Kosuru
M.D | Pediatrics | Male
Krishnamraju Kosuru, M.D is a Joplin, Missouri based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Krishnamraju Kosuru is
3126 S Jackson Ave, Suite 100, Joplin, Missouri - 64804-2534. He can be contacted on phone at
417-556-3416 and fax number 417-556-3417.
Krishnamraju Kosuru is a sole proprietor of his business.
NPI number (Unique professional ID) for Krishnamraju Kosuru is
1013204296 which was assigned by NPPES on 07 Jul, 2011 and it was last updated on 14 Jan, 2016.
Krishnamraju Kosuru license number is
2015040888 for Pediatrics (208000000X) in Missouri.
Krishnamraju Kosuru is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Krishnamraju Kosuru basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Krishnamraju Kosuru |
|---|
| Credential : | M.D |
|---|
| Gender : | Male |
|---|
Business Address:
Krishnamraju Kosuru address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3126 S Jackson Ave, Suite 100
Joplin, MO, 64804-2534
United States |
|---|
| Phone Number : | 417-556-3416 |
|---|
| Fax Number : | 417-556-3417 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1013204296 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 07 Jul, 2011 |
|---|
| Last Updated On : | 14 Jan, 2016 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Krishnamraju Kosuru are as mentioned. Primary taxonomy code for Krishnamraju Kosuru, M.D is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 0437804 | KS |
| 208000000X | Pediatrics | Yes | 2015040888 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Krishnamraju Kosuru such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| PENDING | MEDICAID | KS | |
| 1013204296 | MEDICAID | MO | |
| 200622340A | MEDICAID | OK | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 504944
Saint Louis, MO, 63150-4944
United States |
|---|
| Phone Number : | 417-829-4620 |
|---|
| Fax Number : | 417-829-4316 |
|---|
Business Location:
Patients can refer following map for directions to
Krishnamraju Kosuru practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.