Individual
SHAWN SAHOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 S KEENE ST, COLUMBIA, MO 65201-7199
(573) 443-2402
(573) 443-0574
Mailing address
1 S KEENE ST, COLUMBIA, MO 65201-7199
(573) 443-2402
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
2019009745
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2013
Last updated
08/26/2019
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