Individual
DR. PERIAPATNA ANANTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1430 THOMPSON BLVD STE 7, SEDALIA, MO 65301-2209
(660) 827-9528
(660) 827-7691
Mailing address
PO BOX 801128, KANSAS CITY, MO 64180-1128
(660) 827-9528
(660) 827-7691
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
04-23070
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500033298
—
MO
01
—
52156016
BC-KC
MO
Enumeration date
02/24/2006
Last updated
02/23/2023
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