Individual
DR. KANAKAM DILEEPAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8901 W 74TH ST, STE 3, SHAWNEE MISSION, KS 66204-2204
(913) 384-5775
(913) 384-3990
Mailing address
8901 W 74TH ST, STE 3, SHAWNEE MISSION, KS 66204-2204
(913) 384-5775
(913) 384-3990
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
20216
KS
2084P0800X
Psychiatry Physician
Primary
A42871
CA
2084P0800X
Psychiatry Physician
R6D12
MO
2084P0804X
Child & Adolescent Psychiatry Physician
20216
KS
2084P0804X
Child & Adolescent Psychiatry Physician
A42871
CA
2084P0804X
Child & Adolescent Psychiatry Physician
R6D12
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10735012
BLUE CROSS BLUE SHIELD
—
Enumeration date
07/20/2005
Last updated
09/11/2025
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