Healthcare Provider Details

I. General information

NPI: 1912998998
Provider Name (Legal Business Name): AMIR HEMAYA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 01/04/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 NW MURRAY RD
LEES SUMMIT MO
64081-1428
US

IV. Provider business mailing address

12140 NALL AVE STE 100
OVERLAND PARK KS
66209-2504
US

V. Phone/Fax

Practice location:
  • Phone: 816-525-4400
  • Fax: 816-525-9045
Mailing address:
  • Phone: 816-943-0706
  • Fax: 913-451-1754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number100750
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number04-31031
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: