Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 04-31252 | KS |
NPI | 1013025527 |
---|---|
Provider Name | Bharat Sutariya |
First Address | Overland Park, KS 66201-0716 |
Second Address | Olathe, KS 66061-5350 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2006 |
Last Update Date | 11/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013025527 | (05) | MO |
200353550A | (05) | KS |
35625015 | BCBSKC (01) | KS |
35625015 | UHC (01) | KS |
G55915 | (02) | |
P00240239 | MEDICARE RR (01) | KS |