Provider Demographics
NPI:1902897903
Name:MALISZEWSKI, JAMES A (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:MALISZEWSKI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2330 E MEYER BLVD
Mailing Address - Street 2:STE 101
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64132-1132
Mailing Address - Country:US
Mailing Address - Phone:816-276-9800
Mailing Address - Fax:816-276-9801
Practice Address - Street 1:2330 E MEYER BLVD
Practice Address - Street 2:STE 101
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132-1132
Practice Address - Country:US
Practice Address - Phone:816-276-9800
Practice Address - Fax:816-276-9801
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2022-01-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS04-25242207R00000X
MOR9E32207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO208461103Medicaid
MO208461103Medicaid
MOC51779Medicare UPIN