Individual
DR. SARMISTHA BHALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
321 W PROMENADE ST, MEXICO, MO 65265-2719
(573) 582-1234
(573) 582-1212
Mailing address
321 W PROMENADE ST, MEXICO, MO 65265-2719
(573) 582-1234
(573) 582-1212
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2009003220
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083791792
—
MO
Enumeration date
11/01/2006
Last updated
08/24/2011
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