Healthcare Provider Details

I. General information

NPI: 1326976879
Provider Name (Legal Business Name): ANKITA PHULIA M.B.B.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 RAINBOW BLVD. MS 4032 DIAGNOSTIC RADIOLOGY
KANSAS CITY KS
66160
US

IV. Provider business mailing address

3901 RAINBOW BLVD. MS 4032 DIAGNOSTIC RADIOLOGY
KANSAS CITY KS
66160
US

V. Phone/Fax

Practice location:
  • Phone: 913-574-0338
  • Fax:
Mailing address:
  • Phone: 913-574-0338
  • Fax: 913-945-5062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number94-12700
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: