Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 54128 | WI |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 04-36356 | KS |
NPI | 1104051051 |
---|---|
Provider Name | Chaitali Nilkanth Mahajan |
First Address | Kansas City, MO 64108-4619 |
Second Address | Kansas City, KS 66160-8500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2009 |
Last Update Date | 31/01/2022 |