Individual
RAVINDER MANKOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 S FREMONT AVE FL 4, SPRINGFIELD, MO 65804-6538
(417) 875-3000
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2018020850
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200029928
—
MO
Enumeration date
06/05/2015
Last updated
09/15/2022
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