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NPI Code Detail

MEDICARE: DR. MICHAEL STEVEN MANCINA M.D.

MEDICARE: DR. MICHAEL STEVEN MANCINA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician04-21587KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194739821
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL STEVEN MANCINA M.D.
Provider Business Mailing Address
First Line : 1610 WASHINGTON BLVD
Second Line :
City : KANSAS CITY
State : KS
Zip : 66102-2842
Country : US
Telephone Number : 913-888-8866
Fax Number : 913-888-8829
Provider Business Practice Location Address
First Line : 1610 WASHINGTON BLVD
Second Line :
City : KANSAS CITY
State : KS
Zip : 66102-2842
Country : US
Telephone Number : 913-888-8866
Fax Number : 913-888-8829
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 11/07/2014

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