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NPI Code Detail

MEDICARE: DANIEL J GEHA M.D.

MEDICARE: DANIEL J GEHA 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
1174400000XSpecialist0425005KS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
20009375OTHERMOMEDICARE ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780689885
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL J GEHA M.D.
Provider Business Mailing Address
First Line : 8800 STATE LINE RD
Second Line :
City : LEAWOOD
State : KS
Zip : 66206-1553
Country : US
Telephone Number : 913-383-9099
Fax Number : 913-383-9611
Provider Business Practice Location Address
First Line : 8800 STATE LINE RD
Second Line :
City : LEAWOOD
State : KS
Zip : 66206-1553
Country : US
Telephone Number : 913-383-9099
Fax Number : 913-383-9611
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 03/04/2021

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