Individual
PATRICIA DANDACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 NE SAINT LUKES BLVD, SUITE 300, LEES SUMMIT, MO 64086-6001
(816) 822-8486
(816) 822-0490
Mailing address
2340 E MEYER BLVD BLDG 2, SUITE 392, KANSAS CITY, MO 64132-1105
(816) 822-8486
(816) 822-0490
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
04-35293
KS
207RI0200X
Infectious Disease Physician
Primary
2011036697
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200973370A
—
KS
05
—
209578301
—
MO
Enumeration date
06/06/2008
Last updated
09/02/2015
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