Provider Demographics
NPI:1457526535
Name:DONEPUDI, SREEKANTH (MD , MPH)
Entity Type:Individual
Prefix:
First Name:SREEKANTH
Middle Name:
Last Name:DONEPUDI
Suffix:
Gender:M
Credentials:MD , MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 E 104TH ST
Mailing Address - Street 2:MAILSTOP 400S
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131
Mailing Address - Country:US
Mailing Address - Phone:816-251-5600
Mailing Address - Fax:816-932-5793
Practice Address - Street 1:5844 NW BARRY RD STE 40
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64154-1483
Practice Address - Country:US
Practice Address - Phone:816-880-3876
Practice Address - Fax:816-880-1050
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022007102207RX0202X
SD9159207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine