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General NPI Number Information
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NPI Number | 1821312372
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Entity Type | Organization
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Legal Business Name | KALA DANUSHKODI MD LLC
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Dates
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Enumeration Date | 03/25/2010
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Last Update Date | 07/11/2011
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Provider Practice Location Address
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Address Line | 2700 CLAY EDWARDS DR SUITE 310
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City | NORTH KANSAS CITY
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State | MO
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Zip | 64116-3251
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Country | US
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Telephone | 816-455-1313
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Fax | 816-455-1314
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Provider Business Mailing Address
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Address Line | 2700 CLAY EDWARDS DR SUITE 310
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City | NORTH KANSAS CITY
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State | MO
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Zip | 64116-3251
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Country | US
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Telephone | 816-455-1313
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Fax | 816-455-1314
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KALA DANUSHKODI
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Credential | M.D.
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Telephone | 816-455-1313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 2002013878
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License Number State | MO
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