Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 2014039373 | MO |
NPI | 1053546564 |
---|---|
Provider Name | Zankhana Master Desai |
First Address | Kansas City, MO 64184-3966 |
Second Address | Columbia, MO 65201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2009 |
Last Update Date | 09/05/2019 |