Individual
IPSITA SAMANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 CAMBRIDGE ST 6040 DELP, KANSAS CITY, KS 66160-2312
(913) 588-1422
Mailing address
4000 CAMBRIDGE ST 6040 DELP, KANSAS CITY, KS 66160-8501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-46447
KS
Other
Enumeration date
06/20/2019
Last updated
09/21/2022
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