Basic Information
| Provider Information | |||||||||
| NPI: | 1336584895 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | KHANZADA | ||||||||
| FirstName: | NAVEEN | ||||||||
| MiddleName: | SAMEER | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3901 RAINBOW BLVD., MAILSTOP 4015 | ||||||||
| Address2: | UNIV. OF KANSAS MED CENTER - PSYCHIATRY | ||||||||
| City: | KANSAS CITY | ||||||||
| State: | KS | ||||||||
| PostalCode: | 66160 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9135886400 | ||||||||
| FaxNumber: | 9135886414 | ||||||||
| Practice Location | |||||||||
| Address1: | 3901 RAINBOW BLVD., MAILSTOP 4015 | ||||||||
| Address2: | UNIV. OF KANSAS MED CENTER - PSYCHIATRY | ||||||||
| City: | KANSAS CITY | ||||||||
| State: | KS | ||||||||
| PostalCode: | 66160 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9135886400 | ||||||||
| FaxNumber: | 9135886414 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/09/2013 | ||||||||
| LastUpdateDate: | 11/09/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/09/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | 94-08075 | KS | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 2084P0804X | 0440149 | KS | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Child & Adolescent Psychiatry |
No ID Information.