Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sreedhar Reddy Mitta

Individual provider Pediatrics Physician · NPI 1902455504

Sreedhar Reddy Mitta is a Pediatrics Physician in Carthage, Missouri. Licensed in Michigan and Missouri. Registered with an NPI since 2019.

Licensed in
MI, MO
In the registry since
2019
Specialties on file
3

Practice location Address checks out

2425 Fairlawn Dr
Carthage, MO 64836-3517
Phone: (417) 237-0983
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2022030304 (MO)
Pediatrics Physician Taxonomy 208000000X · Licence 4351045516 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902455504
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 5, 2019
Last updated in NPPESAugust 16, 2022
Certification dateAugust 16, 2022

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