Individual
DR. LEILA KHEIRANDISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MSC
Contact information
Practice address
1020 HITT ST, COLUMBIA, MO 65212-0001
(573) 882-6921
(573) 882-1154
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2019035455
MO
2080S0012X
Pediatric Sleep Medicine Physician
Primary
2019035455
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200076954
—
MO
Enumeration date
09/16/2019
Last updated
05/21/2024
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