Individual
DR. SATHISH KUMAR ITIKYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 256-9111
Mailing address
2900 INDEPENDENCE SQ, WEST PLAINS, MO 65775-4238
(417) 256-1764
(417) 256-1736
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
2019013099
MO
Other
Enumeration date
07/15/2013
Last updated
10/04/2024
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