Individual
SAVITRI MANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4251 NORTHERN AVE, KANSAS CITY, MO 64133-1593
(816) 922-2366
Mailing address
4251 NORTHERN AVE, KANSAS CITY, MO 64133-1593
(816) 922-2366
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04-31545
KS
207Q00000X
Family Medicine Physician
Primary
2008022991
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215981980
—
MO
Enumeration date
05/19/2006
Last updated
09/02/2016
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