Provider Demographics
NPI:1427686138
Name:SUBBU J SARMA MD LLC
Entity type:Organization
Organization Name:SUBBU J SARMA MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUBBU
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-809-1715
Mailing Address - Street 1:4741 CENTRAL ST STE 132
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64112-1533
Mailing Address - Country:US
Mailing Address - Phone:816-809-1715
Mailing Address - Fax:
Practice Address - Street 1:4235 LOCUST ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64110-1016
Practice Address - Country:US
Practice Address - Phone:816-931-2225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-29
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty