Provider Demographics
NPI:1437213998
Name:MANZOOR, ROMA (MD)
Entity Type:Individual
Prefix:
First Name:ROMA
Middle Name:
Last Name:MANZOOR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4240 BLUE RIDGE BLVD
Mailing Address - Street 2:#301
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64133
Mailing Address - Country:US
Mailing Address - Phone:816-291-4700
Mailing Address - Fax:816-291-4600
Practice Address - Street 1:2411 HOLMES STREET
Practice Address - Street 2:M1-210
Practice Address - City:KC
Practice Address - State:MO
Practice Address - Zip Code:64108-2792
Practice Address - Country:US
Practice Address - Phone:816-235-6626
Practice Address - Fax:816-235-6629
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2018-02-13
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Provider Licenses
StateLicense IDTaxonomies
MO20080236132084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry