Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 04-14447 | KS |
N | 207VX0000X | Obstetrician | R5071 | MO |
NPI | 1255300893 |
---|---|
Provider Name | Dr. Herbert C Hodes |
First Address | Overland Park, KS 66211-1601 |
Second Address | Overland Park, KS 66211-1601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2006 |
Last Update Date | 15/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100094500A | (05) | KS |
200106219 | (05) | MO |
C50338 | (02) |