Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 38931 | IA |
N | 2080N0001X | Neonatal-Perinatal Doctor | 04-40202 | KS |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 2014021551 | MO |
NPI | 1013101724 |
---|---|
Provider Name | Dr. Gangaram Ganpatrao Akangire |
First Address | Kansas City, MO 64064 |
Second Address | Kansas City, MO 64108-4619 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2007 |
Last Update Date | 05/09/2017 |