MEDICARE: CYRUS M MUNGUTI M.D.

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	207R00000X	Internal Medicine Physician	0440777	KS
2	207RC0000X	Cardiovascular Disease Physician	0440777	KS

General Provider Information

NPI Number	:	1235511247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYRUS M MUNGUTI M.D.

Provider Business Mailing Address
First Line	:	3901 RAINBOW BOULEVARD
Second Line	:	MAILSTOP 4023
City	:	KANSAS CITY
State	:	KS
Zip	:	66160
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3901 RAINBOW BLVD
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-3124
Country	:	US
Telephone Number	:	913-588-9600
Fax Number	:

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

Provider Enumeration Date	:	06/25/2015
Last Update Date	:	07/11/2025

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