Individual
SRINIVAS KRISHNA CHAITANYA PANCHANGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 HITT ST, COLUMBIA, MO 65212-0001
(573) 219-3960
(573) 219-3964
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2015021637
MO
2080P0202X
Pediatric Cardiology Physician
Primary
2015021637
MO
Other
Enumeration date
07/31/2012
Last updated
06/13/2024
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