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NPI Code Detail

MEDICARE: YELENA PINZUR D.O.

MEDICARE: YELENA PINZUR D.O.
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
1207R00000XInternal Medicine Physician2002012690MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00009825OTHERMORAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1265488225
Entity Type Code : Individual
Provider Name (Legal Business Name) : YELENA PINZUR D.O.
Provider Business Mailing Address
First Line : 8800 STATE LINE RD
Second Line :
City : LEAWOOD
State : KS
Zip : 66206-1553
Country : US
Telephone Number : 913-383-9099
Fax Number : 913-383-3103
Provider Business Practice Location Address
First Line : 8800 STATE LINE RD
Second Line :
City : LEAWOOD
State : KS
Zip : 66206-1553
Country : US
Telephone Number : 913-383-9099
Fax Number : 816-383-3103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 09/11/2014

Similar Medicare Providers

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1578556478 — DR. CHRISTOPHER B GEHA M.D.
Practice Location Address:
8800 STATE LINE RD
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66206-1553
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1902085251 — DAVID W PETERS MD PA
Practice Location Address:
8800 STATE LINE RD
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66206-1553
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1952585614 — DANIEL J GEHA MDPA
Practice Location Address:
8800 STATE LINE RD
LEAWOOD, KS
66206-1553
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Practice Fax: 913-383-3103

Directions to “ YELENA PINZUR D.O.” Practice Location

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