Healthcare Provider Details

I. General information

NPI: 1659506335
Provider Name (Legal Business Name): POOJA THAKUR FRENCH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2009
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4025 NE LAKEWOOD WAY STE 100
LEES SUMMIT MO
64064-2058
US

IV. Provider business mailing address

4025 NE LAKEWOOD WAY STE 100
LEES SUMMIT MO
64064-2058
US

V. Phone/Fax

Practice location:
  • Phone: 816-287-8282
  • Fax:
Mailing address:
  • Phone: 816-287-8282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2009010538
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: