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Individual

ERASMO I SERRANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3901 RAINBOW BLVD, PROFESSIONAL SERVICES OF KU HOSPITAL, KANSAS CITY, KS 66160-0001
(913) 588-6504
(913) 588-9104
Mailing address
2330 SHAWNEE MISSION PKWY, MEDICAL ADMINISTRATIVE SERVICES OF KU MED. STE. 312, WESTWOOD, KS 66205-2005
(913) 588-9000
(913) 588-9822

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04-26826
KS
207R00000X
Internal Medicine Physician
04-26826
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10001798100
CHP PROVIDER#
01
30600022
BCBS PROVIDER#
01
7023364
AETNA
01
FIRSTGUARD
417781
Enumeration date
08/30/2006
Last updated
11/14/2007
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