Individual
SARAT CHANDRA PACHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19550 E 39TH ST S, SUITE 220, INDEPENDENCE, MO 64057-2358
(816) 461-6837
(816) 833-1760
Mailing address
19550 E 39TH ST S, SUITE 215, INDEPENDENCE, MO 64057-2358
(816) 461-6837
(816) 833-1760
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2000158765
MO
207RI0011X
Interventional Cardiology Physician
Primary
2000158765
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205265408
—
MO
Enumeration date
06/17/2005
Last updated
10/29/2024
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