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Shanu Kondamuri, MD
Interventional Pain Medicine Physician in Munster, Indiana
NPI 1497754287

Shanu Kondamuri is a Interventional Pain Medicine Physician based in Munster, IN and is specialized in Interventional Pain Medicine. Shanu Kondamuri practices in Munster, IN and has the professional credentials of MD. The NPI Number for Shanu Kondamuri is 1497754287 and holds a License No. 01045126A (Indiana).

The current practice location address for Shanu Kondamuri is 8840 Calumet Ave, Munster, IN and can be reached out via phone at 219-836-7246 and via fax at 219-836-6454.

Location: 8840 Calumet Ave, Munster, IN, 46321-2545
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Provider Profile Details
NPI Number
1497754287
Provider Name
Shanu Kondamuri
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8840 Calumet Ave, Munster, IN, 46321-2545
Phone Number
219-836-7246
Fax Number
219-836-6454
Provider Enumeration Date
07/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01045126A 01 IL BCBS OF ILLINOIS
01045126A 01 IN LICENSE NUMBER
200111560A 05 IN
050043847 01 GA MEDICARE RAILROAD
000000330844 01 IN BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
8840 Calumet Ave
City
State
Zip
46321-2545
Phone Number
219-836-7246
Fax Number
219-836-6454
person
Provider Business Mailing Address Details
Address
8840 Calumet Ave
City
State
Zip
46321-2545
Phone Number
219-836-7246
Fax Number
219-836-6454
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
License No.
01045126A (Indiana)
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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