Healthcare Provider Details

I. General information

NPI: 1669053310
Provider Name (Legal Business Name): ISHRAT FATIMA GILLANI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2021
Last Update Date: 07/26/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9411 N OAK TRFY STE 205
KANSAS CITY MO
64155-2229
US

IV. Provider business mailing address

9411 N OAK TRFY STE 205
KANSAS CITY MO
64155-2229
US

V. Phone/Fax

Practice location:
  • Phone: 816-691-3546
  • Fax: 816-346-7474
Mailing address:
  • Phone: 816-691-3546
  • Fax: 816-346-7474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number342858
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: