Healthcare Provider Details

I. General information

NPI: 1427686138
Provider Name (Legal Business Name): SUBBU J SARMA MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2020
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4235 LOCUST ST
KANSAS CITY MO
64110-1016
US

IV. Provider business mailing address

4741 CENTRAL ST STE 132
KANSAS CITY MO
64112-1533
US

V. Phone/Fax

Practice location:
  • Phone: 816-931-2225
  • Fax:
Mailing address:
  • Phone: 816-809-1715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: SUBBU JOSEPH SARMA
Title or Position: DIRECTOR
Credential: MD
Phone: 816-809-1715