Provider Demographics
NPI:1245539048
Name:NAEMI, KAVEH (DO, FCAP)
Entity type:Individual
Prefix:DR
First Name:KAVEH
Middle Name:
Last Name:NAEMI
Suffix:
Gender:M
Credentials:DO, FCAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2316 E MEYER BLVD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64132-1136
Mailing Address - Country:US
Mailing Address - Phone:949-933-6955
Mailing Address - Fax:
Practice Address - Street 1:2316 E MEYER BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132-1136
Practice Address - Country:US
Practice Address - Phone:949-933-6955
Practice Address - Fax:816-276-7688
Is Sole Proprietor?:No
Enumeration Date:2011-03-18
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022031312207ZP0102X
KS0546516207ZP0102X
CA20A 9368207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20A 9368OtherOSTEOPATHIC MEDICAL BOARD OF CALIFORNIA