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Contact Information

SHARMILA SURI MOHANRAM, MD
1125 MADISON ST
CAPITAL REGION PHYSICIANS
JEFFERSON CITY, MO65101-5227
 Phone: 573-632-5560
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavioral Neurology & Neuropsychiatry

2084B0040X
 

General Acute Care Hospital

282N00000X A0[7] Hospital-General
Indicates primary specialty

NPI Profile & details for SHARMILA SURI MOHANRAM · (Female)

NPI Number 1053690669
Status Active
Credentials MD
Entity Individual
Enumeration date 08/12/2011
Last updated 11/08/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2011017409
  • MO License # 2015004633
  • MO Medicaid 200022885
  • MO Other 2015004633 STATE LICENSE
Hospital affiliation(s)
  • BOTHWELL REGIONAL HEALTH CENTER - (Acute Care)
    601 E 14TH ST
    SEDALIA, MO 65302
  • CAPITAL REGION MEDICAL CENTER - (Acute Care)
    1125 MADISON ST
    JEFFERSON CITY, MO 65102
  • COX MEDICAL CENTER - (Acute Care)
    3801 SOUTH NATIONAL AVENUE
    SPRINGFIELD, MO 65807
  • UNIVERSITY OF MISSOURI HEALTH CARE - (Acute Care)
    ONE HOSPITAL DRIVE, ROOM CE121, DC031,00
    COLUMBIA, MO 65212
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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