Individual
MARANDAPALLI R JAYARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2040 HUTTON RD, SUITE 102, KANSAS CITY, KS 66109-4566
(913) 299-3700
(913) 299-3050
Mailing address
5675 ROE BLVD, STE 100, ROELAND PARK, KS 66205-2538
(913) 432-2080
(913) 432-5183
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0415262
KS
2080P0202X
Pediatric Cardiology Physician
0415262
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100093650D
—
KS
05
—
100216770C
—
KS
Enumeration date
05/05/2006
Last updated
05/21/2021
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