Basic Information
Provider Information
NPI: 1881219954
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DHARIA
FirstName: ANAND
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Mailing Information
Address1: 1306 W 44TH TER APT 304
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641114286
CountryCode: US
TelephoneNumber: 2144936992
FaxNumber:  
Practice Location
Address1: 3901 RAINBOW BLVD
Address2:  
City: KANSAS CITY
State: KS
PostalCode: 661608500
CountryCode: US
TelephoneNumber: 9135885000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/14/2020
LastUpdateDate: 06/14/2020
NPIDeactivationReasonCode:  
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NPIReactivationDate:  
ProviderGenderCode: M
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IsSoleProprietor: N
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AuthorizedOfficialCredential:  
NPICertificationDate: 06/14/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207T00000X9410166KSY Allopathic & Osteopathic PhysiciansNeurological Surgery 

No ID Information.


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