Organization Active NPI

Sowjanya Duthuluru

  • Specialist
  • Leawood, KS
National Provider Identifier
1508232083
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
04-31996 Issued in KS
Legal business name
SOWJANYA DUTHULURU
Practice address
11213 Nall Ave
Suite 100
Leawood, KS 66211-1833
Phone
(408) 205-4488
NPI assigned
Aug 19, 2015
Last updated
Aug 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sowjanya Duthuluru, M.D.NPI 1427074889
Title
Provider
Phone
(408) 205-4488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 04-31996 KS Primary

Addresses

Primary practice location

11213 Nall Ave
Suite 100
Leawood, KS 66211-1833

Mailing address

11213 Nall Ave
Suite 100
Leawood, KS 66211-1833

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1508232083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11213 NALL AVE",
            "address_2": "SUITE 100",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11213 NALL AVE",
            "address_2": "SUITE 100",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111833",
            "telephone_number": "408-205-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOWJANYA DUTHULURU",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "DUTHULURU",
        "authorized_official_first_name": "SOWJANYA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "408-205-4488",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "KS",
            "license": "04-31996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.