Individual
DR. KAYWAN DINYAR GAMADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
150 S MOUNT AUBURN RD, SUITE 342, CAPE GIRARDEAU, MO 63703-4911
(573) 331-5677
(573) 331-5678
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2015011447
MO
207T00000X
Neurological Surgery Physician
N8651
TX
390200000X
Student in an Organized Health Care Education/Training Program
58.002373
OH
Other
Enumeration date
01/23/2008
Last updated
02/23/2021
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