Provider Demographics
NPI:1952533697
Name:DADI, NEELAKANTA (MD)
Entity Type:Individual
Prefix:DR
First Name:NEELAKANTA
Middle Name:
Last Name:DADI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9662
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72033-9662
Mailing Address - Country:US
Mailing Address - Phone:501-852-1363
Mailing Address - Fax:501-852-1364
Practice Address - Street 1:525 WESTERN AVE STE 305A
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-4982
Practice Address - Country:US
Practice Address - Phone:501-358-6145
Practice Address - Fax:501-504-6642
Is Sole Proprietor?:No
Enumeration Date:2009-08-13
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-14244207RH0003X
MS24849208M00000X
ARE14244207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201133030Medicaid
INP01416616OtherRAILROAD MEDICARE
MS01787767Medicaid
INP01416616OtherRAILROAD MEDICARE
MS01787767Medicaid
MS565659YJ5DMedicare PIN