Individual
BALA S. SOMAYAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 NE 54TH ST, SUITE 111, KANSAS CITY, MO 64118-4389
(816) 799-0180
(630) 528-9579
Mailing address
4601 W 109TH ST STE 100, OVERLAND PARK, KS 66211-1313
(913) 942-0540
(630) 528-9589
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
04-32474
KS
207RI0200X
Infectious Disease Physician
Primary
2009012116
MO
Other
Enumeration date
08/12/2006
Last updated
02/07/2019
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