Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHARMILA SURI MOHANRAM, MD
Active Sole ProprietorSHARMILA SURI MOHANRAM, MD is a 2084B0040X healthcare provider located in JEFFERSON CITY, Missouri. NPI 1053690669 is currently active in the NPPES registry. Verify at CMS.
2084B0040X · JEFFERSON CITY, MO
Registration Details
- NPI Number
- 1053690669
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 12, 2011 (15.053292732287 yrs)
- Last Updated
- Nov 8, 2021
- Licenses
-
2011017409 (MO)2015004633 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1125 MADISON STCAPITAL REGION PHYSICIANSJEFFERSON CITY, MO, 651015227Browse MO providers · Browse ZIP 65101
- Phone
- 5736325560
- Primary Specialty
-
2084B0040X
2084B0040X
- Additional Specialty
- 2084B0040X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.