Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RP1001X | Pulmonary Disease | 0428632 | KS |
Y | 207RP1001X | Pulmonary Disease | 10670 | MO |
NPI | 1053378083 |
---|---|
Provider Name | Dr. Tannaz Montee |
First Address | Kansas City, MO 64132 |
Second Address | Kansas City, MO 64132 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 02/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100383350A | (05) | KS |
208941013 | (05) | MO |
H26871 | (02) |