Organization
MIDWEST GERIATRIC PSYCHIATRIC SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANKAR REDDY KODIDHI MD (PRESIDENT)
(816) 875-4400
Entity
Organization
Contact information
Practice address
5900 SWOPE PKWY, KANSAS CITY, MO 64130-4241
(816) 333-2700
Mailing address
900 SW 33RD ST, LEES SUMMIT, MO 64082-4191
(816) 875-4400
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
2005031801
MO
Other
Enumeration date
11/01/2013
Last updated
11/04/2013
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