Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0437319 | KS |
N | 111NI0900X | Internist | 0437319 | KS |
N | 207RC0200X | Critical Care Medicine | 77759 | GA |
Y | 207RP1001X | Pulmonary Disease | 77759 | GA |
NPI | 1023305661 |
---|---|
Provider Name | Maykol Rene Alexander Postigo Jasahui |
First Address | Kansas City, KS 66106 |
Second Address | Kansas City, KS 66106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2011 |
Last Update Date | 08/08/2017 |