Individual
GEETHIKA EARTHINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3100 OAK GROVE RD, POPLAR BLUFF, MO 63901-1573
(773) 999-5174
Mailing address
3100 OAK GROVE RD, POPLAR BLUFF, MO 63901-1573
(773) 999-5174
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
09963216
MO
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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