Individual
DR. ANIESH BOBBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S
Contact information
Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 884-9066
(573) 884-3037
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-156813
IL
207RN0300X
Nephrology Physician
036-156813
IL
207RN0300X
Nephrology Physician
2018023698
MO
208M00000X
Hospitalist Physician
036-156813
IL
208M00000X
Hospitalist Physician
Primary
2018023698
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200063794
—
MO
Enumeration date
07/11/2015
Last updated
07/02/2021
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