Healthcare Provider Details

I. General information

NPI: 1558981571
Provider Name (Legal Business Name): SARAH KARTHIKA DAVID MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2020
Last Update Date: 11/27/2023
Certification Date: 11/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF KANSAS MEDICAL CENTER 3901 RAINBOW BLVD
KANSAS CITY KS
66160-0001
US

IV. Provider business mailing address

4728 MISSION RD
ROELAND PARK KS
66205-1625
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-5000
  • Fax:
Mailing address:
  • Phone: 630-779-1704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2088F0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician
License Number94-10373
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code2088P0231X
TaxonomyPediatric Urology Physician
License Number94-10373
License Number StateKS
# 3
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number94-10373
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: