Individual
ISAAC O OPOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD, 6040 DELP, MS 1020, DIVISION OF GENERAL AND GERIATRIC MEDICINE, UNIVERSITY, KANSAS CITY, KS 66160
(913) 588-6005
(913) 588-3877
Mailing address
3901 RAINBOW BLVD., 4070 DELP, MS 4017, KANSAS UNIVERSITY PHYSICIANS, INC., KANSAS CITY, KS 66160
(913) 588-2501
(913) 588-3877
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-31556
KS
208M00000X
Hospitalist Physician
Primary
04-31556
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200353590A
—
KS
05
—
208406306
—
MO
01
—
35923028
BCBS KANSAS CITY
MO
01
—
927877
FIRSTGUARD
KS
Enumeration date
08/30/2006
Last updated
06/20/2014
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