Healthcare Provider Details
I. General information
NPI: 1952491706
Provider Name (Legal Business Name): WENDELL YAP MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/13/2006
Last Update Date: 08/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3901 RAINBOW BLVD # MS 4032
KANSAS CITY KS
66160-7234
US
IV. Provider business mailing address
PO BOX 411851
KANSAS CITY MO
64141-1851
US
V. Phone/Fax
- Phone: 913-588-6805
- Fax: 913-588-7899
- Phone: 913-588-6805
- Fax: 913-588-7899
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085B0100X |
| Taxonomy | Body Imaging Physician |
| License Number | 04-29269 |
| License Number State | KS |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085N0700X |
| Taxonomy | Neuroradiology Physician |
| License Number | 04-29269 |
| License Number State | KS |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085N0904X |
| Taxonomy | Nuclear Radiology Physician |
| License Number | 04-29269 |
| License Number State | KS |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | 04-29269 |
| License Number State | KS |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085U0001X |
| Taxonomy | Diagnostic Ultrasound Physician |
| License Number | 04-29269 |
| License Number State | KS |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: