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NPI Code Detail

MEDICARE: MAWD PATHOLOGISTS, LLC

MEDICARE: MAWD PATHOLOGISTS, LLC
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
1207ZH0000XHematology (Pathology) Physician
2207ZD0900XDermatopathology (Pathology) Physician
3207ZB0001XBlood Banking & Transfusion Medicine Physician
4207ZC0500XCytopathology Physician
5207ZP0102XAnatomic Pathology & Clinical Pathology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376209130
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAWD PATHOLOGISTS, LLC
Provider Business Mailing Address
First Line : 9705 LENEXA DR
Second Line :
City : LENEXA
State : KS
Zip : 66215-1345
Country : US
Telephone Number : 913-396-8509
Fax Number : 913-318-8378
Provider Business Practice Location Address
First Line : 9705 LENEXA DR
Second Line :
City : LENEXA
State : KS
Zip : 66215-1345
Country : US
Telephone Number : 913-396-8509
Fax Number : 913-967-5052
Authorized Official
Title or Position : OWNER/MANAGER
Name : MONISHA N DANDEKAR
Credential :
Telephone Number : 913-361-8528
Provider Enumeration Date : 11/16/2021
Last Update Date : 05/13/2026

Similar Medicare Providers

1619167418 — APARNA NAIDU
Practice Location Address:
9705 LENEXA DR
LENEXA, KS
66215-1345
Practice Phone: 913-396-8509
Practice Fax: 913-318-8378
1437655966 — DANIEL ROBBINS
Practice Location Address:
9705 LENEXA DR
LENEXA, KS
66215-1345
Practice Phone: 913-396-8509
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1760914279 — MARY ELIZABETH DOAN MD
Practice Location Address:
9705 LENEXA DR
LENEXA, KS
66215-1345
Practice Phone: 913-396-8509
Practice Fax: 913-318-8378
1790218725 — JAMES VIET DOAN D.O.
Practice Location Address:
9705 LENEXA DR
LENEXA, KS
66215-1345
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Practice Fax: 913-318-8378
1033108519 — MAWD PATHOLOGY GROUP INC
Practice Location Address:
9705 LENEXA DR
LENEXA, KS
66215-1345
Practice Phone: 913-396-8509
Practice Fax: 913-318-8378
1205219938 — MAWD LABORATORY PARTNERS PA
Practice Location Address:
9705 LENEXA DR
LENEXA, KS
66215-1345
Practice Phone: 913-396-8509
Practice Fax: 913-318-8378

Directions to “MAWD PATHOLOGISTS, LLC ” Practice Location

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