Organization
PAWSAT & MAEDA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS J MAEDA (OWNER)
(816) 931-2105
Entity
Organization
Contact information
Practice address
4320 WORNALL RD STE 312, KANSAS CITY, MO 64111-3245
(816) 931-2105
(816) 931-0509
Mailing address
4320 WORNALL RD STE 312, KANSAS CITY, MO 64111-3245
(816) 931-2105
(816) 931-0509
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07709017
BLUE SHIELD
MO
05
—
100117180A
—
KS
01
—
200008836
MEDICARE RAILROAD
—
05
—
502548100
—
MO
Enumeration date
06/01/2007
Last updated
07/23/2020
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