Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Praveen Nandamuru, MD

Individual provider Pediatrics Physician · NPI 1396242954

Dr. Praveen Nandamuru, MD is a Pediatrics Physician in Little Rock, Arkansas. Works from 2 locations. Licensed in Arkansas and Missouri.

Licensed in
AR, MO
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Childrens Way # 512-17
Little Rock, AR 72202-3500
Phone: (501) 364-1893
Fax: (501) 364-2865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1465 S. Grand Blvd., Saint Louis, MO 63104-1004 — (314) 268-4070

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence E-16579 (AR)
Pediatrics Physician Taxonomy 208000000X · Licence 2021022245 (MO)
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X · Licence E-16579 (AR)

Record details

NPI number1396242954
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2018
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023

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