Provider Demographics
NPI:1891310132
Name:IRFAN, ANEEZA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANEEZA
Middle Name:
Last Name:IRFAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF MISSOURI-KANSAS CITY SCHOOL OF MEDICINE
Mailing Address - Street 2:2411 HOLMES, M2-301, GRADUATE MEDICAL EDUCATION
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108
Mailing Address - Country:US
Mailing Address - Phone:816-235-6627
Mailing Address - Fax:816-235-6629
Practice Address - Street 1:TRUMAN MEDICAL CENTER
Practice Address - Street 2:2301 HOLMES, DEPT. OF PATHOLOGY
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108
Practice Address - Country:US
Practice Address - Phone:816-404-4175
Practice Address - Fax:816-404-0003
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-12
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO390200000X
MO2020019724390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program