Kanthi Balasundaram Dasari, D.O.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

E-4590 Issued in AR

Practice address

2200 Ft.Roots Drive
117/NLR
North Little Rock, AR 72114

Phone

(501) 257-2991

Fax

(501) 257-2993

NPI assigned

Nov 1, 2006

Last updated

Jul 28, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Rehabilitation Associates of in PC

  dba Rehabilitation Associates of Indiana

  • Physical Medicine & Rehabilitation Physician
  • Indianapolis, IN
  • NPI 1316929128
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1770660144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 FT.ROOTS DR.",
            "address_2": "117/NLR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72114",
            "telephone_number": "501-257-2991",
            "fax_number": "501-257-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FT.ROOTS DRIVE",
            "address_2": "117/NLR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72114",
            "telephone_number": "501-257-2991",
            "fax_number": "501-257-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASARI",
        "first_name": "KANTHI",
        "middle_name": "BALASUNDARAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AR",
            "license": "E-4590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Melia Daniel
• Dillon Daniels, D.O.
• Stephen F. Daniels, PH.D
• Danny R. Cook, D.D.S., P.a.
• James E Darr III, M.D.
• Kierstin Rene Daugherty, PA-C
• Beth Ann Davenport, PHARM.D.
• Deborah June Davenport, LCSW
• David F Brockman
• David P Dean, M.D., P.a.

• Physical Medicine & Rehabilitation Physician in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Physical Medicine & Rehabilitation Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.