Individual
PRADEEP PA MAMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 CAMBRIDGE ST STE G600, KANSAS CITY, KS 66160-8501
(913) 588-9600
Mailing address
4000 CAMBRIDGE ST STE G600, KANSAS CITY, KS 66160-8501
(913) 588-9600
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
04-47191
KS
207RC0000X
Cardiovascular Disease Physician
K6884
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165941901
—
TX
Enumeration date
04/18/2006
Last updated
02/23/2023
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