Healthcare Provider Details

I. General information

NPI: 1124236393
Provider Name (Legal Business Name): ALEJANDRO PEREZ-VERDIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2007
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5844 NW BARRY RD STE 230
KANSAS CITY MO
64154-1421
US

IV. Provider business mailing address

901 E 104TH ST MAILSTOP 400S
KANSAS CITY MO
64131
US

V. Phone/Fax

Practice location:
  • Phone: 816-931-1883
  • Fax:
Mailing address:
  • Phone: 816-931-1883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number0447135
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number2007010573
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: