Individual
MEGHA SHAH CHANDRAMOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
5229 MILLRIDGE ST, SHAWNEE, KS 66226-9714
(913) 422-9336
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2003009739
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200304150A
—
KS
05
—
209284504
—
MO
Enumeration date
04/24/2006
Last updated
07/09/2007
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