NPI 1003301144

Irakli Todua, MD

Practitioner Internal Medicine Physician Saint Joseph, MO

Practice location

Address: 901 Heartland Rd STE 3800, Saint Joseph, MO 64506-6201
Phone: (816) 671-4800
Mailing address: 5301 Faraon St STE 120, Saint Joseph, MO 64506-3512

Registered specialties (2)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 2021023742 (MO)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003301144
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2018
Record last updated: 29 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.