Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | ME145275 | FL |
N | 208000000X | Pediatrician | 117706 | MO |
NPI | 1568454981 |
---|---|
Provider Name | Dr. Majed J Dasouki |
First Address | Leawood, KS 66224-3972 |
Second Address | Kansas City, MO 64112-1617 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2005 |
Last Update Date | 03/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
203958426 | (05) | MO |
27555 | MISSOURI BNDD (01) | MO |
BD5621708 | DEA (01) | MO |
BD8212083 | DEA (01) | KS |
F71477 | (02) |