Individual
KAVITA KONDIBA JADHAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-5027
Mailing address
2310 HOLMES ST, STE 800, KANSAS CITY, MO 64108-2640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036127271
IL
207R00000X
Internal Medicine Physician
Primary
2015015967
MO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2015015967
MO
208M00000X
Hospitalist Physician
036127271
IL
208M00000X
Hospitalist Physician
2015015967
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036127271
—
IL
05
—
2015015967
—
MO
Enumeration date
09/07/2008
Last updated
12/17/2020
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