MEDICARE: RAJENDRAN SABAPATHY 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	207RI0011X	Interventional Cardiology Physician	2009002522	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	37135051	OTHER		BCBS LEGACY

General Provider Information

NPI Number	:	1457345712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJENDRAN SABAPATHY MD

Provider Business Mailing Address
First Line	:	10550 QUIVIRA RD
Second Line	:	SUITE 510
City	:	OVERLAND PARK
State	:	KS
Zip	:	66215-2306
Country	:	US
Telephone Number	:	913-894-9015
Fax Number	:	913-894-9398

Provider Business Practice Location Address
First Line	:	10550 QUIVIRA RD
Second Line	:	SUITE 510
City	:	OVERLAND PARK
State	:	KS
Zip	:	66215-2306
Country	:	US
Telephone Number	:	913-894-9015
Fax Number	:	913-894-9398

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

Provider Enumeration Date	:	09/01/2005
Last Update Date	:	02/09/2022

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