Healthcare Provider Details

I. General information

NPI: 1982455846
Provider Name (Legal Business Name): ADRIANA RUSH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2024
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 RAINBOW BLVD
KANSAS CITY KS
66160-0001
US

IV. Provider business mailing address

3901 RAINBOX BLVD MS 1034
KANSAS CITY KS
66160-0001
US

V. Phone/Fax

Practice location:
  • Phone: 404-921-4270
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number94-12862
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: