Sreedhar Reddy Mitta

NPI #1902455504 in Carthage, Missouri

Provider Information

NPI Number: 1902455504
Entity Type: Individual
Name: Sreedhar Reddy Mitta
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Enumeration Date: Sep 5, 2019
Last Updated: Aug 16, 2022

Practice Location

Address: 2425 FAIRLAWN DR
City: Carthage
State: Missouri
ZIP Code: 64836-3517
Phone: (417) 237-0983

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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