Individual
MAYA NANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
04-37521
KS
207K00000X
Allergy & Immunology Physician
145681
CA
207K00000X
Allergy & Immunology Physician
Primary
2014029978
MO
208000000X
Pediatrics Physician
04-37521
KS
208000000X
Pediatrics Physician
2014029978
MO
Other
Enumeration date
09/07/2010
Last updated
11/22/2021
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