Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 2017044375 | MO |
NPI | 1619167418 |
---|---|
Provider Name | Aparna Naidu |
First Address | Kansas City, MO 64108-2716 |
Second Address | Kansas City, MO 64108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2007 |
Last Update Date | 22/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
090093802 | (05) | TX |
1841338076 | ORAL PATHOLOGY ASSOCIATES (01) | TX |