Healthcare Provider Details

I. General information

NPI: 1265455885
Provider Name (Legal Business Name): SATISH K KHURANA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 12/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8550 MARSHALL DR SUITE 200
LENEXA KS
66214-1505
US

IV. Provider business mailing address

8550 MARSHALL DR SUITE 220 ADMINISTRATION
LENEXA KS
66214-1505
US

V. Phone/Fax

Practice location:
  • Phone: 913-495-2000
  • Fax: 913-495-3715
Mailing address:
  • Phone: 913-495-2000
  • Fax: 913-495-3715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number04-15677
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: