Provider Demographics
NPI:1497700017
Name:SARMA, ANURADHA H (MD)
Entity Type:Individual
Prefix:
First Name:ANURADHA
Middle Name:H
Last Name:SARMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 N SCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:MO
Mailing Address - Zip Code:64012-1730
Mailing Address - Country:US
Mailing Address - Phone:816-322-4769
Mailing Address - Fax:816-318-0900
Practice Address - Street 1:503 N SCOTT AVE
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:MO
Practice Address - Zip Code:64012-1730
Practice Address - Country:US
Practice Address - Phone:816-322-4769
Practice Address - Fax:816-318-0900
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR2P882080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO208134924Medicaid