Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 2015011447 | MO |
N | 207T00000X | Neurosurgeon | N8651 | TX |
NPI | 1063699833 |
---|---|
Provider Name | Dr. Kaywan Dinyar Gamadia |
First Address | Kansas City, MO 64180-1143 |
Second Address | Cape Girardeau, MO 63703-4911 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2008 |
Last Update Date | 23/02/2021 |