Jawaria Shoaib Chatta, MD
Individual provider Active NPI Family Medicine Physician · Grandview, MO
NPI 1124866397 · NPPES record last updated Jul 19, 2024
Key facts
- NPI
- 1124866397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2024018106 (MO)
- Practice address
- 13013 Fuller Ave Ste a
Grandview, MO 64030-2687 - Phone
- (816) 214-5548
- NPI assigned
- Jul 19, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024018106 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medina Clinic, Incorporated | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2024018106 | MO | Yes |
Addresses
Primary practice location
13013 Fuller Ave Ste a
Grandview, MO 64030-2687
Mailing address
4802 W 147TH St
Leawood, KS 66224-7804
Phone (913) 370-6837
Other providers in Grandview, MO
- Douglas Call
- Gracyn Carmean
- Barbara Lynn Cavanaugh
- Celebraces Truman Corners Ferguson LLC
- Centerwell Senior Primary Care (Mo) PC
- City of Grandview
- Trevor S Clemons
- Michael Ross Coffey
- David Cohen
- Comfort Dental Grandview Aaron Parkin DMD PC
All providers in Grandview, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.