Sunder M Lal, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

R2H47 Issued in MO

Practice address

1100 Club Village Dr
Suite 102
Columbia, MO 65203-4409

Phone

(573) 447-4400

Fax

(573) 303-0140

NPI assigned

Oct 25, 2006

Last updated

Jul 12, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Central Missouri Nephrology Associates,LLC

  • Nephrology Physician
  • Columbia, MO
  • NPI 1922087121
  Authorized official Same address or phone
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1801970785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3062 S OLD RIDGE RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652039547",
            "telephone_number": "573-445-9290",
            "fax_number": "573-303-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CLUB VILLAGE DR",
            "address_2": "SUITE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034409",
            "telephone_number": "573-447-4400",
            "fax_number": "573-303-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAL",
        "first_name": "SUNDER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "R2H47",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202448718",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natasha Lagrega, MD
• Bradley Stephen Lahet, MD
• Elizabeth Lai, M.D.
• Linda Marie Lair, RRT, RPFT
• Rebecca Laird
• Dana Lalk, F.N.P.
• Sebastien Lalonde, MD,CM FRCS(C)
• Alaina Lamb, DPT, PT
• Michelle Elizabeth Lamb, NP
• Aaron Spencer Lambdin, MD

• Nephrology Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Nephrology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.