Individual
MISS ANCY MARUTHANAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2700 CLAY EDWARDS DR., SUITE 400 MERITAS HEALTH NKC, NORTH KANSAS CITY, MO 64116
(816) 421-4240
(816) 221-5439
Mailing address
2700 CLAY EDWARDS DR, SUITE 400 MERITAS HEALTH NKC, NORTH KANSAS CITY, MO 64116
(816) 421-4240
(816) 221-5439
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2014003381
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710202643
—
MO
Enumeration date
04/03/2010
Last updated
02/11/2016
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