MEDICARE: MELVIN L GLAZER 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
1	207R00000X	Internal Medicine Physician	MD R4490	MO
2	207R00000X	Internal Medicine Physician	04-15449	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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871588954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELVIN L GLAZER MD

Provider Business Mailing Address
First Line	:	6675 HOLMES RD
Second Line	:	SUITE 550
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-1150
Country	:	US
Telephone Number	:	816-363-7710
Fax Number	:	816-363-8414

Provider Business Practice Location Address
First Line	:	6675 HOLMES RD
Second Line	:	SUITE 550
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-1150
Country	:	US
Telephone Number	:	816-363-7710
Fax Number	:	816-363-8414

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

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	05/03/2026

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Directions to “ MELVIN L GLAZER MD” Practice Location

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