Organization
KALA DANUSHKODI MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KALA DANUSHKODI M.D. (PRESIDENT)
(816) 455-1313
Entity
Organization
Contact information
Practice address
2700 CLAY EDWARDS DR, SUITE 310, NORTH KANSAS CITY, MO 64116-3251
(816) 455-1313
(816) 455-1314
Mailing address
2700 CLAY EDWARDS DR, SUITE 310, NORTH KANSAS CITY, MO 64116-3251
(816) 455-1313
(816) 455-1314
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2002013878
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780640276
PROVIDER NPI
—
01
—
2002013878
PHYSICIAN LICENSE
MO
05
—
205913817
—
MO
Enumeration date
03/25/2010
Last updated
07/11/2011
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