Provider Demographics
NPI:1831278647
Name:OTAYZA-NAVATO, MARIA ELENA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ELENA
Last Name:OTAYZA-NAVATO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARIEL
Other - Middle Name:
Other - Last Name:NAVATO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2310 HOLMES ST
Mailing Address - Street 2:STE 800
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-2602
Mailing Address - Country:US
Mailing Address - Phone:816-218-2523
Mailing Address - Fax:816-421-7379
Practice Address - Street 1:300 SE 2ND ST STE 201
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-2759
Practice Address - Country:US
Practice Address - Phone:816-404-6170
Practice Address - Fax:816-404-6210
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20080117862084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry