Individual
FNU KIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 303-1661
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
(205) 297-9411
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2021015945
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021015945
MISSOURI BOARD OF HEALING ARTS
MO
Enumeration date
07/19/2021
Last updated
06/02/2025
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