Individual
AASRITHA REDDY GANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 W 19TH TER, KANSAS CITY, MO 64108-2026
(816) 404-5709
Mailing address
2310 HOLMES ST STE 2800, KANSAS CITY, MO 64108-2602
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2022006534
MO
2084P0804X
Child & Adolescent Psychiatry Physician
2022006534
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08645418
ECFMG
—
01
—
94-08946
KANSAS BOARD OF HEALING ARTS
KS
Enumeration date
04/11/2016
Last updated
03/07/2023
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