Individual
IRISA MAHAPARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-2846
(913) 588-3974
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-2846
(913) 588-3974
(913) 588-6055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9409921
KS
207RN0300X
Nephrology Physician
Primary
25MA11852600
NJ
Other
Enumeration date
03/22/2019
Last updated
06/23/2025
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