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

Mohan Mallikarjuna Edupuganti, MD

Individual provider Interventional Cardiology Physician · NPI 1164737490

Mohan Mallikarjuna Edupuganti, MD is an Interventional Cardiology in Washington, Missouri. Qualified in 2004, 22 years ago. Practices with Metro Physicians LLC, a 64-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arkansas, Missouri and Oklahoma.

Years since qualifying
22
Licensed in
AR, MO, OK
In the registry since
2010
Specialties on file
4
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

901 Patients First Dr Ste 2500
Washington, MO 63090
Phone: (636) 239-2711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 840 Montclair Rd, Birmingham, AL 35213-1920 — (205) 592-5135
  • 3315 Kethley Street Shawnee, Shawnee, OK 74804 — (405) 273-2270

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 2018042912 (MO)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence E9506 (AR)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 35133 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1164737490
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 11, 2010
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Metro Physicians Llc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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