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Individual

JAYESH H. THAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-0340
(816) 932-3148
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 502-8752
(816) 932-9670

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-30628
KS
207R00000X
Internal Medicine Physician
105717
MO
208M00000X
Hospitalist Physician
0430628
KS
208M00000X
Hospitalist Physician
Primary
105717
MO

Other

Enumeration date
07/02/2006
Last updated
01/16/2017
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