MEDICARE: ELIZABETH JOAN FRIEDMAN 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
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	111314	MO
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	04-26310	KS

General Provider Information

NPI Number	:	1225042690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH JOAN FRIEDMAN M.D.

Provider Business Mailing Address
First Line	:	4000 CAMBRIDGE ST
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-8501
Country	:	US
Telephone Number	:	913-588-7301
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 CAMBRIDGE ST
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-2304
Country	:	US
Telephone Number	:	913-588-7301
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	08/25/2023

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