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Individual

WILSON PRAKASH PAIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 884-8445
(573) 884-5318
Mailing address
1008 N MAIN ST, SIKESTON, MO 63801-5044
(573) 471-1600
(573) 258-8477

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2007012297
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1407982200
IL MCD
IL
05
1407982200
MO
01
493716
COVENTRY
MO
Enumeration date
02/26/2007
Last updated
04/16/2026
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