Individual
CHAITALI NILKANTH MAHAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD, MAILSTOP 4004, KANSAS CITY, KS 66160-8500
(913) 588-6034
Mailing address
2401 GILHAM ROAD, PROVIDER ENROLLMENT DEPARTMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
54128
WI
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
04-36356
KS
Other
Enumeration date
05/21/2009
Last updated
01/31/2022
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