Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 0430631 | KS |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 04-30631 | KS |
NPI | 1083727077 |
---|---|
Provider Name | Dr. John N Vani |
First Address | Kansas City, MO 64114 |
Second Address | Kansas City, KS 66112-3628 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 22/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G79480 | (02) |