Healthcare Provider Details

I. General information

NPI: 1619960044
Provider Name (Legal Business Name): VENKATADRI C BEEKI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 12/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 N GREEN HILLS RD
KANSAS CITY MO
64154-1910
US

IV. Provider business mailing address

11300 CORPORATE AVE
LENEXA KS
66219-1374
US

V. Phone/Fax

Practice location:
  • Phone: 913-574-2520
  • Fax: 913-574-2612
Mailing address:
  • Phone: 913-574-2800
  • Fax: 913-574-2336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number0429287
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number101169
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: