Healthcare Provider Details

I. General information

NPI: 1952043713
Provider Name (Legal Business Name): RIDDHI PAUDEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2022
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 CAMBRIDGE ST # MS 1019
KANSAS CITY KS
66160-8500
US

IV. Provider business mailing address

4000 CAMBRIDGE ST # MS 1019
KANSAS CITY KS
66160-8500
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-6504
  • Fax:
Mailing address:
  • Phone: 913-588-6504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PH0002X
TaxonomyHospice and Palliative Medicine (Emergency Medicine) Physician
License Number04-51395
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: