Healthcare Provider Details

I. General information

NPI: 1770161218
Provider Name (Legal Business Name): SARIKA CHOWDHRY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 NW R D MIZE RD
BLUE SPRINGS MO
64014-2515
US

IV. Provider business mailing address

5670 OLD WINDER HWY STE 100
BRASELTON GA
30517-1238
US

V. Phone/Fax

Practice location:
  • Phone: 816-228-1000
  • Fax: 816-463-6035
Mailing address:
  • Phone: 770-709-6922
  • Fax: 770-709-6910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2026023181
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number99633
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: