Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036127127 | IL |
N | 111NI0900X | Internist | 036127127 | IL |
N | 207R00000X | Internist | 04-40023 | KS |
N | 111NI0900X | Internist | 04-40023 | KS |
Y | 207R00000X | Internist | 2021001779 | MO |
Y | 111NI0900X | Internist | 2021001779 | MO |
N | 207R00000X | Internist | LL29078 | SC |
N | 111NI0900X | Internist | LL29078 | SC |
N | 207RH0002X | Hospice and Palliative Medicine | 2021001779 | MO |
NPI | 1164512232 |
---|---|
Provider Name | Dr. Roya Nadji Tehrani |
First Address | Kansas City, MO 64114-3232 |
Second Address | Kansas City, MO 64114-3232 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 17/11/2021 |