Healthcare Provider Details

I. General information

NPI: 1225879752
Provider Name (Legal Business Name): ANUSHRI SINGH RAJAPURI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2024
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3921 SHERMAN AVE
SAINT JOSEPH MO
64506-3649
US

IV. Provider business mailing address

735 W WALNUT ST APT A
INDIANAPOLIS IN
46202-3177
US

V. Phone/Fax

Practice location:
  • Phone: 816-279-3300
  • Fax:
Mailing address:
  • Phone: 317-529-3652
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2025022867
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: