MEDICARE: DR. JORGE C PARADELO MD, FACR

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	2085R0001X	Radiation Oncology Physician	R8B35	MO
2	2085R0001X	Radiation Oncology Physician	04-20058	KS

General Provider Information

NPI Number	:	1669435202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JORGE C PARADELO MD, FACR

Provider Business Mailing Address
First Line	:	6601 WINCHESTER AVE
Second Line	:	SUITE 230
City	:	KANSAS CITY
State	:	MO
Zip	:	64133-4677
Country	:	US
Telephone Number	:	816-313-2677
Fax Number	:	816-313-6000

Provider Business Practice Location Address
First Line	:	6601 WINCHESTER AVE
Second Line	:	SUITE 230
City	:	KANSAS CITY
State	:	MO
Zip	:	64133-4677
Country	:	US
Telephone Number	:	816-313-2677
Fax Number	:	816-313-6000

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

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	07/08/2007

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