Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2000153641 | MO |
N | 111NI0900X | Internist | 2000153641 | MO |
Y | 207RC0200X | Critical Care Medicine | 2000153641 | MO |
N | 207RP1001X | Pulmonary Disease | 2000153641 | MO |
NPI | 1063525566 |
---|---|
Provider Name | Dr. Naresh Kumar Kodwani |
First Address | Leawood, KS 66224-3727 |
Second Address | Kansas City, MO 64128-2226 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 22/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1063525566 | (05) | MO |
200618640A | (05) | OK |
201123590A | (05) | KS |