Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHANKER DAS KUNDUMADAM, MD
DeactivatedMR. SHANKER DAS KUNDUMADAM, MD is a Gastroenterology healthcare provider located in FESTUS, Missouri. NPI 1720475403 is deactivated in the NPPES registry. Verify at CMS.
Gastroenterology · FESTUS, MO
This NPI has been deactivated.
The record was deactivated on November 24, 2015.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1720475403
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 21, 2015 (0.59289617486339 yrs)
- Last Updated
- Aug 29, 2025
- Deactivated
- Nov 24, 2015
- Licenses
-
MD-49141 (IA)2024046631 (MO)
Practice Information
- Address
-
1390 US HIGHWAY 61 STE N3300FESTUS, MO, 630284137Browse MO providers · Browse ZIP 63028
- Phone
- 6369378675
- Fax
- 6369331981
- Primary Specialty
-
Gastroenterology
207RG0100X
- Additional Specialty
- Gastroenterology
Other Gastroenterology Providers in FESTUS, MO
| Name | Credential | NPI |
|---|---|---|
| DR. REHAN RAFIQ | M.D. | 1407924954 |
| DR. EDWARDO DURANTE VERZOLA | M.D. | 1245381201 |
| SAAD MUKTAR ZINAD | M.D | 1336582972 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.