Provider Demographics
NPI:1447476957
Name:TAPAN K. CHAUDHRI, MD
Entity type:Organization
Organization Name:TAPAN K. CHAUDHRI, MD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TAPAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:CHAUDHURI
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACP
Authorized Official - Phone:816-353-2400
Mailing Address - Street 1:6225 RAYTOWN TRFY
Mailing Address - Street 2:
Mailing Address - City:RAYTOWN
Mailing Address - State:MO
Mailing Address - Zip Code:64133-3846
Mailing Address - Country:US
Mailing Address - Phone:816-353-2400
Mailing Address - Fax:816-353-3022
Practice Address - Street 1:6225 RAYTOWN TRFY
Practice Address - Street 2:
Practice Address - City:RAYTOWN
Practice Address - State:MO
Practice Address - Zip Code:64133-3846
Practice Address - Country:US
Practice Address - Phone:816-353-2400
Practice Address - Fax:816-353-3022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO33761207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOE07790Medicare UPIN