NPI 1164737490 · live from the CMS NPI Registry
Mohan Mallikarjuna Edupuganti, M.D.
Internal Medicine, Interventional Cardiology in Washington, MO. National Provider Identifier 1164737490, active.
NPI record
| NPI | 1164737490 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Interventional Cardiology 207RI0011X |
| Practice location | 901 Patients First Dr Ste 2500, Washington, MO 63090 |
| Practice phone | 636-239-2711 |
| Enumerated | August 11, 2010 |
| Last updated | March 2, 2026 |
| Sole proprietor | No |
| Other names | Mallik Edupuganti |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Interventional Cardiology | 207RI0011X | E9506 (AR) |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 35133 (OK) |
| Internal Medicine, Interventional Cardiology primary | 207RI0011X | 2018042912 (MO) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.