Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 04-42483 | KS |
Y | 207K00000X | Allergist & Immunologist | 2019032027 | MO |
N | 207R00000X | Internist | 125064782 | IL |
N | 111NI0900X | Internist | 125064782 | IL |
NPI | 1235558222 |
---|---|
Provider Name | Aarti Pandya |
First Address | Kansas City, MO 64108-4619 |
Second Address | Kansas City, MO 64108-4619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2014 |
Last Update Date | 21/10/2020 |