NPI 1003490426

Sushmita Thota, MD

Practitioner Pediatrics Physician Poplar Bluff, MO

Practice location

Address: 2879 James Blvd, Poplar Bluff, MO 63901-3395
Phone: (573) 712-1610
Fax: (573) 776-6124
Mailing address: 110 S 2nd St, Ellington, MO 63638-9400

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 2024026869 (MO)

Other Pediatrics providers in Missouri →

Registry record

NPI: 1003490426
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 May 2021
Record last updated: 30 Jul 2026

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.