Subbu J Sarma Md Llc | |
4235 Locust St Kansas City MO 64110-1016 | |
(816) 931-2225 | |
Not Available |
Full Name | Subbu J Sarma Md Llc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 4235 Locust St, Kansas City, Missouri |
Authorized Official Name and Position | Subbu Joseph Sarma (DIRECTOR) |
Authorized Official Contact | 8168091715 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Subbu J Sarma Md Llc 4741 Central St Ste 132 Kansas City MO 64112-1533 Ph: (816) 809-1715 | Subbu J Sarma Md Llc 4235 Locust St Kansas City MO 64110-1016 Ph: (816) 931-2225 |
NPI Number | 1427686138 |
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Provider Enumeration Date | 03/29/2020 |
Last Update Date | 04/24/2020 |
Certification Date | 04/24/2020 |
Medicare PECOS PAC ID | 9335570258 |
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Medicare Enrollment ID | O20200510000059 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427686138 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Subbu Joseph Sarma |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1689661829 PECOS PAC ID: 0143119784 Enrollment ID: I20100913000163 |
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