Healthcare Provider Details

I. General information

NPI: 1679401145
Provider Name (Legal Business Name): AJINKYA VIJAY MAHORKAR MBBS, MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

3901 RAINBOW BLVD MS 3006
KANSAS CITY KS
66160
US

IV. Provider business mailing address

3901 RAINBOW BLVD MS 3006
KANSAS CITY KS
66160
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-0844
  • Fax: 913-588-6303
Mailing address:
  • Phone: 913-588-0844
  • Fax: 913-588-6303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: