MEDICARE: JULES M NAZZARO 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	207T00000X	Neurological Surgery Physician	77172	MA
2	207T00000X	Neurological Surgery Physician	04-32129	KS

Other Identifiers

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

General Provider Information

NPI Number	:	1336118116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULES M NAZZARO M.D.

Provider Business Mailing Address
First Line	:	3901 RAINBOW BLVD
Second Line	:	MS 3021
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-0001
Country	:	US
Telephone Number	:	913-588-5129
Fax Number	:	913-588-5337

Provider Business Practice Location Address
First Line	:	3901 RAINBOW BLVD
Second Line	:	MS 3021
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-0001
Country	:	US
Telephone Number	:	913-588-5129
Fax Number	:	913-588-5337

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

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	05/13/2009

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