Organization
JUAN C. NOSTI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN C. NOSTI M.D. (PRESIDENT)
(913) 262-5014
Entity
Organization
Contact information
Practice address
8901 W 74TH ST, SUITE 350, SHAWNEE MISSION, KS 66204-2204
(913) 262-5014
(913) 262-6198
Mailing address
8901 W 74TH ST, SUITE 350, SHAWNEE MISSION, KS 66204-2204
(913) 262-5014
(913) 262-6198
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04-15082
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05641013
BLUE CROSS BLUE SHIELD
KS
05
—
100093180A
—
KS
01
—
241077450
MEDICARE RAILROAD
—
Enumeration date
12/10/2009
Last updated
12/10/2009
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