Individual
DR. KRISHNA R. RAJANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6420 PROSPECT AVE, T-207, KANSAS CITY, MO 64132-4147
(816) 276-9100
(816) 276-9101
Mailing address
6420 PROSPECT AVE, T-207, KANSAS CITY, MO 64132-4147
(816) 276-9100
(816) 276-9101
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2007006305
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200589130A
—
KS
05
—
205467806
—
MO
01
—
P00396076
RAILROAD MEDICARE
MO
01
—
P00679195
RAILROAD MEDICARE
KS
05
—
PIN 1174595243
—
MO
Enumeration date
02/03/2006
Last updated
11/16/2009
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