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Dr. Geetha G. Herath, MD

Pediatrics in Osage Beach, MO. Individual provider (NPI-1).

NPI number1730104183
StatusActive
Last updated in NPPESFeb 23, 2017

Details

NPI
1730104183
Entity type
Individual (NPI-1)
Name
Dr. Geetha G. Herath
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 13, 2006
Last updated
Feb 23, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics106038MOYes
207P00000X Emergency Medicine106038MO

Practice location

54 Hospital Dr
Osage Beach, MO 65065-3050

Phone 573-348-8000 · Fax 573-348-8069

Mailing address

54 Hospital Dr
Osage Beach, MO 65065-3050

Phone 573-348-8000 · Fax 573-348-8069

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