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Contact Information

ANIESH BOBBA, M.B.B.S
ONE HOSPITAL DR
COLUMBIA, MO65212-0001
 Phone: 573-884-9066
 Fax: 573-884-3037
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ANIESH BOBBA · (Male)

NPI Number 1073997839
Status Active
Credentials M.B.B.S
Entity Individual
Enumeration date 07/11/2015
Last updated 07/02/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-156813
  • MO License # 2018023698
  • MO Medicaid 200063794
Hospital affiliation(s)
  • JOHN H STROGER JR HOSPITAL - (Acute Care)
    1901 W HARRISON ST
    CHICAGO, IL 60612
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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