Individual
TUBA ESFANDYARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD, RM 4035, WESCOE MAILSTOP 1023, KANSAS CITY, KS 66160
(913) 588-0455
Mailing address
3901 RAINBOW BLVD, RM 4035, WESCOE MAILSTOP 1023, KANSAS CITY, KS 66160
(913) 588-6003
(913) 588-3975
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
45969
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290412800
—
MN
Enumeration date
01/24/2006
Last updated
05/28/2014
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