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Individual

DR. SACHIN MALLANAGOUDA PATIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-8788
(573) 882-3131
Mailing address
PO BOX 7411626, CHICAGO, IL 60674-5626

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2018019524
MO
207RP1001X
Pulmonary Disease Physician
2018019524
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200085987
MO
Enumeration date
07/13/2010
Last updated
07/24/2025
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