Healthcare Provider Details

I. General information

NPI: 1255395687
Provider Name (Legal Business Name): ALAA A ELBENDARY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10600 QUIVIRA RD STE 130
OVERLAND PARK KS
66215-2311
US

IV. Provider business mailing address

10600 QUIVIRA RD STE 130
OVERLAND PARK KS
66215-2311
US

V. Phone/Fax

Practice location:
  • Phone: 913-541-5550
  • Fax: 913-541-5028
Mailing address:
  • Phone: 913-541-5550
  • Fax: 913-541-5028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number110171
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number04-50514
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: