Mukund Komanduri MD SC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

36084511 Issued in IL

Legal business name

MUKUND KOMANDURI MD SC

Doing business as

MK Orthopaedics, Surgery & Rehabilitation

Practice address

963 N 129TH Infantry Dr
Suite 100
Joliet, IL 60435-8346

Phone

(815) 741-6900

Fax

(815) 741-6907

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mukund Komanduri, M.D.

Title

Owner

Phone

(815) 741-6900

Specialties & licenses 1

Addresses

Other names 1

• MK Orthopaedics, Surgery & Rehabilitation Doing business as

Locations

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1801903497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 N 129TH INFANTRY DR",
            "address_2": "SUITE 100",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358346",
            "telephone_number": "815-741-6900",
            "fax_number": "815-741-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 N 129TH INFANTRY DR",
            "address_2": "SUITE 100",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358346",
            "telephone_number": "815-741-6900",
            "fax_number": "815-741-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUKUND KOMANDURI MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "KOMANDURI",
        "authorized_official_first_name": "MUKUND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-741-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "36084511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MK Orthopaedics, Surgery & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Morris, FNP
• Lataylor Mosley
• Dale Anthony Mraz, DC
• Mrs MRI of Joliet, LLC
• Eunice W Mudryj, CRNA
• Kimberly Ann Mulligan, PA-C
• Jacob Multack, MA, LPC
• Melissa L Munday, LCPC CADC
• Jean Munyaneza
• Kiyoshi Gary Murakami, D.C.

• Orthopaedic Surgery Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.