MEDICARE: DR. BHARATA LANKACHANDRA 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	207R00000X	Internal Medicine Physician	106838	MO
2	207R00000X	Internal Medicine Physician	04-26655	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	21278014	OTHER		BCBS
4	337910	OTHER		FIRST GUARD
5	110231988	OTHER	MO	RR MCR
6	2499564	OTHER		AETNA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	738519	OTHER		FIRST HEALTH

General Provider Information

NPI Number	:	1417940313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BHARATA LANKACHANDRA M.D.

Provider Business Mailing Address
First Line	:	10901 GRANADA LN
Second Line	:	#200
City	:	OVERLAND PARK
State	:	KS
Zip	:	66211-1401
Country	:	US
Telephone Number	:	913-660-1616
Fax Number	:	913-660-1664

Provider Business Practice Location Address
First Line	:	10500 QUIVIRA RD
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66215-2306
Country	:	US
Telephone Number	:	913-541-5000
Fax Number	:

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

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	08/15/2008

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Directions to “ DR. BHARATA LANKACHANDRA M.D.” Practice Location

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