Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086X0206X | Surgical Oncologist | 36275 | SC |
N | 2086X0206X | Surgical Oncologist | MD438279 | PA |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 2017000490 | MO |
NPI | 1144555723 |
---|---|
Provider Name | Jussuf T Kaifi |
First Address | Kansas City, MO 64184-3966 |
Second Address | Columbia, MO 65212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2009 |
Last Update Date | 04/09/2018 |