Individual
DR. SUMALATHA MUTHINENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
3901 RAINBOW BLVD # MS 1005, KANSAS CITY, KS 66160-8500
(913) 588-1466
(913) 588-1201
Mailing address
3901 RAINBOW BLVD # MS 1005, KANSAS CITY, KS 66160-8500
(913) 588-1466
(913) 588-1201
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
94-07895
KS
207R00000X
Internal Medicine Physician
9407895
KS
Other
Enumeration date
06/08/2012
Last updated
07/01/2024
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