Individual
PANDURANG P CHILLAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 NE SAINT LUKES BLVD, SUITE 350, LEES SUMMIT, MO 64086-6001
(816) 943-0706
(816) 524-4325
Mailing address
12140 NALL AVE STE 100, OVERLAND PARK, KS 66209-2504
(816) 943-0706
(913) 451-1754
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-21994
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100207060A
—
KS
Enumeration date
08/31/2006
Last updated
03/07/2023
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