Individual
DR. VIMAL CHADHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3010
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3010
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101233549
VA
2080P0210X
Pediatric Nephrology Physician
0101233549
VA
2080P0210X
Pediatric Nephrology Physician
Primary
2010015651
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010006376
—
VA
Enumeration date
09/07/2006
Last updated
06/14/2011
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