institution
Tasanaporn Pitiyanuvath, M.d. L.l.c.
Primary Care Clinic/Center in Kansas City, Missouri
NPI 1588896526

Tasanaporn Pitiyanuvath, M.d. L.l.c. is a Primary Care Clinic/Center based in Overland Park, MO and is specialized in Primary Care. Tasanaporn Pitiyanuvath, M.d. L.l.c. practices in Kansas City, MO. The NPI Number for Tasanaporn Pitiyanuvath, M.d. L.l.c. is 1588896526 and holds a License No. 33971 (Missouri).

The current practice location address for Tasanaporn Pitiyanuvath, M.d. L.l.c. is 6400 Prospect Ave, Kansas City, MO and can be reached out via phone at 816-812-3512. You can also correspond with Tasanaporn Pitiyanuvath, M.d. L.l.c. through the mailing address at PO BOX 7862, OVERLAND PARK, KS - 66207-0862 (mailing address contact number: 816-812-3512).

Location: 6400 Prospect Ave, Kansas City, MO, 66207-0862
institution
Provider Profile Details
NPI Number
1588896526
Provider Name
Tasanaporn Pitiyanuvath, M.d. L.l.c.
Credential
Provider Entity Type
Organization
Address
6400 Prospect Ave, Kansas City, MO, 66207-0862
Phone Number
816-812-3512
Fax Number
Provider Enumeration Date
08/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201583416 05 MO
institution
Provider Business Practice Location Address Details
Address
6400 Prospect Ave
City
State
Zip
64132-1100
Phone Number
816-812-3512
Fax Number
person
Provider Business Mailing Address Details
Address
6400 Prospect Ave
City
State
Zip
64132-1100
Phone Number
816-812-3512
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
33971 (Missouri)
Definition
Definition to come...
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