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Individual

NAVEEN PENMASTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3901 RAINBOW BLVD, MS4010, KANSAS CITY, KS 66160-8500
(913) 588-1902
(913) 588-1951
Mailing address
3901 RAINBOW BLVD, MS4010, KANSAS CITY, KS 66160-8500
(913) 588-1902
(913) 588-1951

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9408173
KS

Other

Enumeration date
05/28/2013
Last updated
05/28/2013
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