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Individual

DR. BHARATA LANKACHANDRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10500 QUIVIRA RD, OVERLAND PARK, KS 66215-2306
(913) 541-5000
Mailing address
10901 GRANADA LN, #200, OVERLAND PARK, KS 66211-1401
(913) 660-1616
(913) 660-1664

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-26655
KS
207R00000X
Internal Medicine Physician
106838
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100376130A
KS
05
100376130B
KS
01
110231988
RR MCR
MO
05
207739541
MO
01
21278014
BCBS
01
2499564
AETNA
01
337910
FIRST GUARD
01
738519
FIRST HEALTH
Enumeration date
08/25/2005
Last updated
08/15/2008
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