Basic Information
Provider Information
NPI: 1639520406
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KESHARY
FirstName: AARATI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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Mailing Information
Address1: 901 E 104TH ST
Address2: MAILSTOP 400S
City: KANSAS CITY
State: MO
PostalCode: 64131
CountryCode: US
TelephoneNumber: 8169325350
FaxNumber:  
Practice Location
Address1: 4401 WORNALL RD
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641113220
CountryCode: US
TelephoneNumber: 8169325350
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/23/2016
LastUpdateDate: 08/26/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 08/26/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X94-09077KSN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RH0003X0446609KSN Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
207RH0003X2022034037MOY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


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