Individual
KUMAR GAURAV PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9411 N OAK TRFY, SUITE 202, KANSAS CITY, MO 64155-2233
(816) 468-8820
(816) 468-8898
Mailing address
2700 CLAY EDWARDS DR, SUITE 240, NORTH KANSAS CITY, MO 64116-3251
(816) 691-5287
(816) 346-7690
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01073660A
IN
207Y00000X
Otolaryngology Physician
Primary
2015009389
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201232130
—
IN
Enumeration date
06/30/2009
Last updated
06/16/2015
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