1083727515 NPI number — DR. GEETHA S KAMATH M. D

Table of content: DR. GEETHA S KAMATH M. D (NPI 1083727515)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083727515 NPI number — DR. GEETHA S KAMATH M. D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KAMATH
Provider First Name:
GEETHA
Provider Middle Name:
S
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M. D
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083727515
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/12/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4251 NORTHERN AVE, HONOR ANNEX, VAMC
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KANSASCITY
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64133
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-922-2340
Provider Business Mailing Address Fax Number:
816-922-4814

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2301 HOLMES ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64108-2640
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-404-4862
Provider Business Practice Location Address Fax Number:
816-404-7035
Provider Enumeration Date:
08/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  2013039275 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3810004920 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2026 www.npivalidator.com