Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 125.056048 | IL |
Y | 208000000X | Pediatrician | 2012013485 | MO |
N | 2080P0208X | Pediatric Infectious Diseases | 2012013485 | MO |
NPI | 1497984496 |
---|---|
Provider Name | Amruta Narendra Padhye |
First Address | Kansas City, MO 64184-3966 |
Second Address | Columbia, MO 65201-6626 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2009 |
Last Update Date | 26/02/2018 |