Individual
PRASANTH BABU SADARAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6406
(816) 271-7986
Mailing address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6406
(816) 271-7986
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2025036087
MO
208M00000X
Hospitalist Physician
Primary
2025036087
MO
390200000X
Student in an Organized Health Care Education/Training Program
E-12977
AR
Other
Enumeration date
07/08/2016
Last updated
10/13/2025
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