# KALA DANUSHKODI MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821312372
- **Authorized official:** DR. KALA DANUSHKODI M.D. (PRESIDENT)
- **Authorized official phone:** (816) 455-1313

## Contact information

- **Practice address:** 2700 CLAY EDWARDS DR, SUITE 310, NORTH KANSAS CITY, MO 64116-3251
- **Practice address phone:** (816) 455-1313
- **Practice address fax:** (816) 455-1314
- **Mailing address:** 2700 CLAY EDWARDS DR, SUITE 310, NORTH KANSAS CITY, MO 64116-3251
- **Mailing address phone:** (816) 455-1313
- **Mailing address fax:** (816) 455-1314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2002013878 | MO | Yes |

## Other

- **Enumeration date:** 03/25/2010
- **Last updated:** 07/11/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1780640276 | PROVIDER NPI | — |
| 01 | — | 2002013878 | PHYSICIAN LICENSE | MO |
| 05 | — | 205913817 | — | MO |