MEDICARE: STARLA SEGOVIA 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	2085R0202X	Diagnostic Radiology Physician	04-50973	KS

General Provider Information

NPI Number	:	1821610692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STARLA SEGOVIA MD

Provider Business Mailing Address
First Line	:	DEPARTMENT OF RADIOLOGY 3901 RAINBOW BLVD MS 4032
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-0001
Country	:	US
Telephone Number	:	913-588-1847
Fax Number	:	316-685-9388

Provider Business Practice Location Address
First Line	:	DEPARTMENT OF RADIOLOGY 3901 RAINBOW BLVD MS 4032
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-4926
Country	:	US
Telephone Number	:	913-588-1847
Fax Number	:

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

Provider Enumeration Date	:	05/14/2020
Last Update Date	:	03/18/2026

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