TASANAPORN PITIYANUVATH M.D. L.L.C. NPI 1588896526

NPI Information

NPI: 1588896526
Provider Name: TASANAPORN PITIYANUVATH, M.D. L.L.C.

Doing Business As: T.P. CHILDREN & TEENS CARE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
6400 PROSPECT AVE
SUITE # 208
KANSAS CITY, MO
ZIP 64132
Phone: (816) 812-3512
Get Directions

TASANAPORN PITIYANUVATH, M.D. L.L.C. is a primary care clinic center in Kansas City, MO. TASANAPORN PITIYANUVATH, M.D. L.L.C. NPI is 1588896526. The provider is registered as an organization entity type.
The provider Is Doing Business As T.p. Children & Teens Care.

The provider's business location address is:

6400 PROSPECT AVE
SUITE # 208
KANSAS CITY, MO
ZIP 64132-100
Phone: (816) 812-3512

The provider's authorized official is Tasanaporn Pitiyanuvath .
The authorized official title is Owner and has the following contact phone number (816) 812-3512.

The enumeration date for this NPI number is 8/9/2009 and was last updated on 5/22/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	33971	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D93568	MEDICARE UPIN	MISSOURI
2	201583416	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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