Individual
DR. ROHITHA INTURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 W 15TH ST, SUITE A, LIBERAL, KS 67901-2467
(620) 624-0702
(620) 624-5078
Mailing address
PO BOX 1215, ATTN CLINIC BILLING OFFICE, LIBERAL, KS 67905-1215
(620) 629-6638
(620) 629-6684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-37345
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200337860A
—
OK
05
—
201120980A
—
KS
Enumeration date
04/18/2011
Last updated
03/08/2017
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