Individual
DR. SUBBU JOSEPH SARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4025 NE LAKEWOOD WAY STE 210, LEES SUMMIT, MO 64064-2059
(816) 554-7750
(816) 554-7866
Mailing address
4741 CENTRAL ST # 132, KANSAS CITY, MO 64112-1533
(816) 809-1715
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
04-31941
KS
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
2003010751
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208778704
—
MO
Enumeration date
10/03/2005
Last updated
10/19/2021
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