Individual
MRS. PUNAM PAM SHASTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-6300
(913) 274-3515
Mailing address
2106 OLATHE BLVD MS 4004, KANSAS CITY, KS 66160-7816
(913) 588-6300
(913) 274-3515
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
05-27296
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100314530A
—
KS
05
—
244966305
—
MO
01
—
25039042
BCBS KANSAS CITY
MO
01
—
370011203
RR MEDICARE
—
01
—
646140
FIRSTGUARD
—
Enumeration date
08/30/2006
Last updated
09/12/2025
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