Ms Sujatha R Ayyagari, MD | |
1103 W Liberty St, Farmington, MO 63640-1921 | |
(573) 756-6751 | |
Not Available |
Full Name | Ms Sujatha R Ayyagari |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1103 W Liberty St, Farmington, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922057751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 109717 (Missouri) | Primary |
Entity Name | Parkland Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922016112 PECOS PAC ID: 1951219237 Enrollment ID: O20050224000840 |
Mailing Address | Practice Location Address |
---|---|
Ms Sujatha R Ayyagari, MD 1103 W Liberty St, Farmington, MO 63640-1921 Ph: (573) 756-6751 | Ms Sujatha R Ayyagari, MD 1103 W Liberty St, Farmington, MO 63640-1921 Ph: (573) 756-6751 |
Dr. Karin L Clauss, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1103 W Liberty St, Farmington, MO 63640 Phone: 573-756-6751 Fax: 573-756-6807 | |
Amy R Schomer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1103 W Liberty St, Farmington, MO 63640 Phone: 573-756-6751 | |
Piyush Srivastava, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1103 W Liberty St, Farmington, MO 63640 Phone: 573-756-6751 | |
Mrs. Jeanne M Kornhardt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1103 W Liberty St, Farmington, MO 63640 Phone: 573-756-6751 Fax: 573-756-6807 | |
Darlene A Moore, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1103 W Liberty St, Farmington, MO 63640 Phone: 573-756-6751 Fax: 573-756-1965 |