Provider Demographics
NPI:1861438400
Name:KHUMRI, SAMINA T (MD)
Entity type:Individual
Prefix:DR
First Name:SAMINA
Middle Name:T
Last Name:KHUMRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SAMINA
Other - Middle Name:N
Other - Last Name:GHANCHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:13133 BLUEJACKET ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-4632
Mailing Address - Country:US
Mailing Address - Phone:913-956-9806
Mailing Address - Fax:
Practice Address - Street 1:4320 WORNALL RD
Practice Address - Street 2:SUITE 440
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-5941
Practice Address - Country:US
Practice Address - Phone:816-531-1550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012022160207RI0200X
KS04-360678207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease