Individual
MAMATHA PASNOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
LANDON CENTER ON AGING, 3599 RAINBOW BLVD MAIL STOP 2012, KANSAS CITY, KS 66160-7314
(913) 588-6970
(913) 588-6965
Mailing address
3901 RAINBOW BLVD, 4070 DELP MAIL STOP 4017, KANSAS CITY, KS 66160
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0431646
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37125014
BCBS OF KANSAS CITY
MO
Enumeration date
06/06/2007
Last updated
07/09/2007
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