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Individual

SWARNALATHA REDDY YERRAPU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
1000 W NIFONG BLVD BLDG 6, COLUMBIA, MO 65203-5615
(888) 103-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2017005100
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2014023523
TEMPORARY LICENSE
MO
Enumeration date
07/25/2011
Last updated
03/22/2019
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