Individual
DR. SANCHAYITA TRIPATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
509 E 10TH ST, ROLLA, MO 65401-3302
(573) 368-7000
(574) 364-6570
Mailing address
509 E 10TH ST, ROLLA, MO 65401-3302
(573) 368-7000
(574) 364-6570
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
107174
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207613001
—
MO
Enumeration date
05/04/2006
Last updated
05/03/2016
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