Madhu Kalyan Pendurthi
Medical Specialty
Professional ID
- NPI: 1750661286
- PECOS ID: 8820366560
- Enrollment ID: I20170621000682
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2007
Hospital Service
- Hospital CCN1: 260065
- Business Name (LBN)1: Mercy Hospital Springfield
Medical Practices
- Organization Name: Mercy Clinic Springfield Communities
- Group Practice ID assigned by PECOS: 7416865845
- Number of Group Practice member: 877
Location
- Address1: 1229 E Seminole St
- Address2: Mc Pulmonology Surgery Center
- City: Springfield
- State: Missouri
- Zip Code: 65804
- Phone Number: (417)888-5696
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):