Healthcare Provider Details

I. General information

NPI: 1700994027
Provider Name (Legal Business Name): HEMENDER S VATS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2006
Last Update Date: 07/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 PROSPECT AVE SUITE 480
KANSAS CITY MO
64132-1100
US

IV. Provider business mailing address

6400 PROSPECT AVE SUITE 480
KANSAS CITY MO
64132-1100
US

V. Phone/Fax

Practice location:
  • Phone: 816-276-1700
  • Fax: 816-276-1704
Mailing address:
  • Phone: 816-276-1700
  • Fax: 816-276-1704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number2012006658
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number0435588
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: