Individual
DR. DHANUNJAYA LAKKIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, SUITE#G600, KANSAS CITY, KS 66160-8500
(913) 588-9600
(913) 588-9770
Mailing address
5501 NW 62ND TER, SUITE 201, KANSAS CITY, MO 64151-2411
(816) 584-8884
(913) 945-9612
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
04-29029
KS
207RC0000X
Cardiovascular Disease Physician
117378
MO
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
04-29029
KS
207RC0001X
Clinical Cardiac Electrophysiology Physician
117378
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105678
BCBS KS OUTREACH CLINICS
KS
05
—
200387770A
—
KS
05
—
200387770B
—
KS
05
—
203747605
—
MO
01
—
37126012
BCBS KC
MO
Enumeration date
05/09/2006
Last updated
01/27/2022
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