Individual
DR. GEETHA G. HERATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
106038
MO
208000000X
Pediatrics Physician
Primary
106038
MO
Other
Enumeration date
07/13/2006
Last updated
02/23/2017
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