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NPI Code Detail

MEDICARE: OVERLAND PARK RADIOLOGISTS, PA

MEDICARE: OVERLAND PARK RADIOLOGISTS, PA
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
12085R0202XDiagnostic Radiology PhysicianKS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CS3816OTHERKSRR MEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1255336251
Entity Type Code : Organization
Provider Name (Legal Business Name) : OVERLAND PARK RADIOLOGISTS, PA
Provider Business Mailing Address
First Line : 5800 FOXRIDGE DR
Second Line : STE 240
City : MISSION
State : KS
Zip : 66202-2338
Country : US
Telephone Number : 913-261-3153
Fax Number : 913-262-3295
Provider Business Practice Location Address
First Line : 401 WOODLAND HILLS BLVD
Second Line :
City : FORT SCOTT
State : KS
Zip : 66701-8797
Country : US
Telephone Number : 620-223-2200
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. DOUGLAS HUGHES
Credential : MD
Telephone Number : 913-261-3153
Provider Enumeration Date : 06/16/2005
Last Update Date : 07/21/2022

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Directions to “OVERLAND PARK RADIOLOGISTS, PA ” Practice Location

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