Provider Demographics
NPI:1770554420
Name:GAUR, NEETA (MD)
Entity type:Individual
Prefix:
First Name:NEETA
Middle Name:
Last Name:GAUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NEETA
Other - Middle Name:
Other - Last Name:RATHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6420 PROSPECT AVE
Mailing Address - Street 2:SUITE T-303
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64132-1180
Mailing Address - Country:US
Mailing Address - Phone:816-333-1919
Mailing Address - Fax:816-333-2614
Practice Address - Street 1:6420 PROSPECT AVE
Practice Address - Street 2:SUITE T-303
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132-1180
Practice Address - Country:US
Practice Address - Phone:816-333-1919
Practice Address - Fax:816-333-2614
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005027550207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200380830CMedicaid
MO200773208Medicaid
MO1770554420Medicaid
KS200380830BMedicaid
MO200773208Medicaid
MOW78E267Medicare PIN
KS200380830CMedicaid
MO1770554420Medicaid
MOP00738648Medicare PIN