Individual
DR. RENGASAMY GOWDAMARAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
04-21304
KS
2080P0202X
Pediatric Cardiology Physician
Primary
33804
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001930A
—
KS
05
—
200738805
—
MO
Enumeration date
04/24/2006
Last updated
09/22/2015
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