Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 2019018151 | MO |
Y | 111NI0900X | Internist | 2019018151 | MO |
NPI | 1003470881 |
---|---|
Provider Name | Sindhuja Palle |
First Address | Kansas City, MO 64108 |
Second Address | Kansas City, MO 64108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2019 |
Last Update Date | 26/08/2019 |