Healthcare Provider Details

I. General information

NPI: 1427687318
Provider Name (Legal Business Name): CAN OZLU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2020
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date: 12/08/2020
Reactivation Date: 12/15/2020

III. Provider practice location address

2401 GILLHAM RD
KANSAS CITY MO
64108-4619
US

IV. Provider business mailing address

2401 GILLHAM RD
KANSAS CITY MO
64108-4619
US

V. Phone/Fax

Practice location:
  • Phone: 816-234-3000
  • Fax:
Mailing address:
  • Phone: 816-701-5200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number2025049000
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: