Healthcare Provider Details

I. General information

NPI: 1184620585
Provider Name (Legal Business Name): HANNAH VARGAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH V STECHSCHULTE

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 05/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20375 W 151ST ST. STE #106
OLATHE KS
66061
US

IV. Provider business mailing address

PO BOX 874480
KANSAS CITY MO
64187-0001
US

V. Phone/Fax

Practice location:
  • Phone: 913-764-2737
  • Fax: 913-764-7502
Mailing address:
  • Phone: 913-764-2737
  • Fax: 913-764-7502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number04-29526
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: