MEDICARE: HANNAH VARGAS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207YX0905X	Otolaryngology/Facial Plastic Surgery Physician	04-29526	KS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	D40017905	OTHER		MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	522765	OTHER	HEALTHLINK
2	31908012	OTHER	BCBS - KC
3	470383	OTHER	BCBS - KS

General Provider Information

NPI Number	:	1184620585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH VARGAS MD

Provider Business Mailing Address
First Line	:	PO BOX 874480
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64187-0001
Country	:	US
Telephone Number	:	913-764-2737
Fax Number	:	913-764-7502

Provider Business Practice Location Address
First Line	:	20375 W 151ST ST.
Second Line	:	STE #106
City	:	OLATHE
State	:	KS
Zip	:	66061
Country	:	US
Telephone Number	:	913-764-2737
Fax Number	:	913-764-7502

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	05/27/2010

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Directions to “ HANNAH VARGAS MD” Practice Location

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