Individual
SASCHA DARIUS TAGHIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6420 PROSPECT AVE, T-207, KANSAS CITY, MO 64132-4147
(816) 276-9100
(816) 276-9101
Mailing address
6420 PROSPECT AVE, T-207, KANSAS CITY, MO 64132-4147
(816) 276-9100
(816) 276-9101
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
1065048A
IN
207XX0801X
Orthopaedic Trauma Physician
Primary
2009007674
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376746974
—
MO
05
—
200614500A
—
KS
01
—
BP2-0018484
INSTITUTIONAL PERMIT
—
Enumeration date
06/09/2007
Last updated
03/08/2010
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