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General NPI Number Information
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NPI Number | 1770519555
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Entity Type | Individual
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Provider Name | CHAKSHU GUPTA MD
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Gender | Male
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 4000 CAMBRIDGE ST
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City | KANSAS CITY
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State | KS
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Zip | 66160-3488
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Country | US
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Telephone | 913-588-6111
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Fax |
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Provider Business Mailing Address
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Address Line | 9705 LENEXA DR
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City | LENEXA
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State | KS
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Zip | 66215-1345
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Country | US
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Telephone | 816-676-1165
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Fax | 816-676-1208
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 2004029637
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number | 04-35950
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number | 2004029637
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 2004029637
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 2004029637
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License Number State | MO
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Taxonomy #6
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 04-35950
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License Number State | KS
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