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NPI Code Detail

MEDICARE: DR. RAKESH GOPINATHANNAIR M.D., M.A.

MEDICARE:  DR. RAKESH  GOPINATHANNAIR  M.D., M.A.
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 Physician43795KY
2207RC0000XCardiovascular Disease Physician36463IA
3207RC0001XClinical Cardiac Electrophysiology Physician43795KY
4207RC0001XClinical Cardiac Electrophysiology Physician2018035418MO
5207RC0001XClinical Cardiac Electrophysiology Physician04-41433KS

General Provider Information

NPI Number : 1366524068
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAKESH GOPINATHANNAIR M.D., M.A.
Provider Business Mailing Address
First Line : 12200 W 106TH ST STE 320
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66215-2305
Country : US
Telephone Number : 913-894-9015
Fax Number : 913-894-9398
Provider Business Practice Location Address
First Line : 5100 W 110TH ST STE 300
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66211-1215
Country : US
Telephone Number : 913-449-1297
Fax Number : 913-906-2339
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2006
Last Update Date : 08/23/2023

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