MEDICARE: DR. RYAN BUCANI UTARNACHITT M.D., M.A., M.P.H

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	207RG0100X	Gastroenterology Physician	2017044163	MO

General Provider Information

NPI Number	:	1659545796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RYAN BUCANI UTARNACHITT M.D., M.A., M.P.H

Provider Business Mailing Address
First Line	:	1419 N ACACIA AVE STE 101
Second Line	:
City	:	REEDLEY
State	:	CA
Zip	:	93654-2197
Country	:	US
Telephone Number	:	559-391-3160
Fax Number	:

Provider Business Practice Location Address
First Line	:	3800 S WHITNEY AVE STE 200
Second Line	:
City	:	INDEPENDENCE
State	:	MO
Zip	:	64055-6739
Country	:	US
Telephone Number	:	816-478-4887
Fax Number	:	816-478-7140

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

Provider Enumeration Date	:	04/19/2008
Last Update Date	:	05/07/2020

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