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Individual

MR. VENKATESH SAMPATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-4300
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-4300

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2015029489
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1669429148
WI
Enumeration date
05/28/2006
Last updated
09/02/2015
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