Individual
SHRUTI TILAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
3901 RAINBOW BLVD # MS 4015, KANSAS CITY, KS 66160-3815
(913) 588-6400
Mailing address
2903 SUSSEX RD, AUGUSTA, GA 30909-3556
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
94-11758
KS
Other
Enumeration date
01/08/2024
Last updated
06/25/2024
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