Individual
ESRA DEMIRTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3315 BERRYWOOD DR, COLUMBIA, MO 65201-8373
(573) 882-3818
(573) 884-4609
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2022035810
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730507799
—
NC
01
—
204DJ
BCBS OF NC
NC
01
—
NN84560322
MEDICARE
NC
Enumeration date
04/06/2014
Last updated
10/04/2022
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