Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | BP10043109 | TX |
N | 111NI0900X | Internist | BP10043109 | TX |
Y | 207RI0011X | Interventional Cardiology | 2019016542 | MO |
NPI | 1093077687 |
---|---|
Provider Name | Dr. Meghan Krish Patni |
First Address | Springfield, MO 65807-5155 |
Second Address | Springfield, MO 65807-5209 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2012 |
Last Update Date | 03/07/2019 |