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Individual

BETHLEHEM GELAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8550 MARSHALL DR, SUITE 220, LENEXA, KS 66214-1505
(816) 942-8200
Mailing address
373 W 101ST TER, KANSAS CITY, MO 64114-4408
(816) 942-8200

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0436055
KS
2085R0202X
Diagnostic Radiology Physician
Primary
2012035075
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01136295
RR MEDICARE
MO
Enumeration date
07/25/2007
Last updated
11/11/2020
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