Healthcare Provider Details

I. General information

NPI: 1427063239
Provider Name (Legal Business Name): NAGA V GARIKIPATI M.D., M.P.H.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20805 W 151ST ST # 400
OLATHE KS
66061-7249
US

IV. Provider business mailing address

20805 W 151ST ST # 400
OLATHE KS
66061-7249
US

V. Phone/Fax

Practice location:
  • Phone: 614-688-1588
  • Fax:
Mailing address:
  • Phone: 913-780-4900
  • Fax: 913-780-0949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number04-40060
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: