Healthcare Provider Details

I. General information

NPI: 1447952569
Provider Name (Legal Business Name): MEGAN RODRIGUES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 S PARKER ST
OLATHE KS
66061-4009
US

IV. Provider business mailing address

255 S PARKER ST
OLATHE KS
66061-4009
US

V. Phone/Fax

Practice location:
  • Phone: 913-738-1050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number04-53324
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: