Individual
MS. NATASHA R. ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
127 W 10TH ST, SUITE 202, KANSAS CITY, MO 64105-1761
(816) 404-0787
(816) 404-0701
Mailing address
PO BOX 411054, KANSAS CITY, MO 64141-1054
(816) 935-1704
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0433710
KS
2085R0202X
Diagnostic Radiology Physician
Primary
2004006971
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205497407
—
MO
01
—
7119026
BCBS
MO
01
—
P00704235
RR MEDICARE
MO
Enumeration date
06/29/2006
Last updated
12/10/2020
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