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NPI Code Detail

MEDICARE: TISHA DARICE ANYANIKE M.D.

MEDICARE: TISHA DARICE ANYANIKE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician2007013996MO
2207Q00000XFamily Medicine Physician04-31678KS

General Provider Information

NPI Number : 1144370750
Entity Type Code : Individual
Provider Name (Legal Business Name) : TISHA DARICE ANYANIKE M.D.
Provider Business Mailing Address
First Line : 1010 W US HIGHWAY 24
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64050-2337
Country : US
Telephone Number : 816-608-3411
Fax Number : 816-608-2921
Provider Business Practice Location Address
First Line : 1010 W US HIGHWAY 24
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64050-2337
Country : US
Telephone Number : 816-608-3411
Fax Number : 816-608-2921
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2007
Last Update Date : 02/26/2026

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Directions to “ TISHA DARICE ANYANIKE M.D.” Practice Location

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