| NPI | 1023627940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMKAR VAIDYA U. VAIDYA Md/Owner 816-588-0725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2021-04-22 |