Provider Demographics
NPI:1194980409
Name:LAD, JITEN NATVAR (DO)
Entity type:Individual
Prefix:DR
First Name:JITEN
Middle Name:NATVAR
Last Name:LAD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:920 MAIN ST STE 300
Mailing Address - Street 2:ATTN DR. JITEN LAD
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64105-2008
Mailing Address - Country:US
Mailing Address - Phone:816-559-6333
Mailing Address - Fax:816-559-6394
Practice Address - Street 1:920 MAIN ST STE 300
Practice Address - Street 2:ATTN DR. JITEN LAD
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64105-2008
Practice Address - Country:US
Practice Address - Phone:816-559-6333
Practice Address - Fax:816-559-6394
Is Sole Proprietor?:No
Enumeration Date:2008-07-25
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2011002810207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1194980409Medicaid
MO45532016OtherBLUE CROSS
MO1194980409Medicaid