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Individual

BHARAT SUTARIYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
20333 W 151ST ST, OLATHE, KS 66061-5350
(913) 791-4357
(913) 791-4435
Mailing address
PO BOX 716, OVERLAND PARK, KS 66201-0716
(913) 791-4357
(913) 791-4435

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04-31252
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013025527
MO
05
200353550A
KS
01
35625015
BCBSKC
KS
01
P00240239
MEDICARE RR
KS
Enumeration date
08/25/2006
Last updated
08/11/2011
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