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NPI Code Detail

MEDICARE: VASANTHA KARAN MD

MEDICARE: VASANTHA KARAN MD
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
12084P0800XPsychiatry Physician04-21572KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
125229018OTHERKSBCBS OF KC

General Provider Information

NPI Number : 1780622969
Entity Type Code : Individual
Provider Name (Legal Business Name) : VASANTHA KARAN MD
Provider Business Mailing Address
First Line : 6000 LAMAR AVE
Second Line : STE 130
City : MISSION
State : KS
Zip : 66202-3234
Country : US
Telephone Number : 913-831-2550
Fax Number : 913-826-1589
Provider Business Practice Location Address
First Line : 1125 W SPRUCE ST
Second Line :
City : OLATHE
State : KS
Zip : 66061-3123
Country : US
Telephone Number : 913-782-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 07/08/2007

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