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Sombabu N Maganti, MD
Clinical Neurophysiology Physician in Springfield, Missouri
NPI 1407142474

Sombabu N Maganti is a Clinical Neurophysiology Physician based in Springfield, MO and is specialized in Clinical Neurophysiology. Sombabu N Maganti practices in Springfield, MO and has the professional credentials of MD. The NPI Number for Sombabu N Maganti is 1407142474 and holds a License No. 2011022935 (Missouri).

The current practice location address for Sombabu N Maganti is 2115 S Fremont Ave, Springfield, MO and can be reached out via phone at 417-820-3911 and via fax at 417-820-3924.

Location: 2115 S Fremont Ave, Springfield, MO, 65801-2580
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407142474
Provider Name
Sombabu N Maganti
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2115 S Fremont Ave, Springfield, MO, 65801-2580
Phone Number
417-820-3911
Fax Number
417-820-3924
Provider Enumeration Date
06/28/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00990413 01 MO RR MCR
188731001 05 AR
1407142474 05 MO
institution
Provider Business Practice Location Address Details
Address
2115 S Fremont Ave
City
Springfield
State
Missouri
Zip
65804-2239
Phone Number
417-820-3911
Fax Number
417-820-3924
person
Provider Business Mailing Address Details
Address
2115 S Fremont Ave
City
Springfield
State
Missouri
Zip
65804-2239
Phone Number
417-820-3911
Fax Number
417-820-3924
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
25MA08817500 (New Jersey)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Clinical Neurophysiology
Taxonomy
2084N0600X
License No.
2011022935 (Missouri)
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
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