Ancha, Sudhakar
Ancha, Sudhakar is an sole proprietor health care provider with primary practice located at 2216 E 32Nd St Ste 103, Joplin MO 64804-3016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Ancha, Sudhakar can be contacted via phone (417) 623-5250.Contact Information
Primary practice address
2216 E 32Nd St Ste 103
Joplin MO 64804-3016
Phone: (417) 623-5250
Fax: (417) 623-8302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 2005009627 | Missouri |
Profile Details
| NPI number | 1346395852 |
|---|---|
| LBN Legal business name | Ancha, Sudhakar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Nov 3rd, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346395852 | NPPES |
| Missouri | MEDICAID | 207197401 |
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