Individual
DR. MARK BILEZIKJIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4321 WASHINGTON ST STE 1200, KANSAS CITY, MO 64111-5905
(816) 932-2000
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131
(816) 502-8756
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2017030452
MO
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
804330
TN
208VP0014X
Interventional Pain Medicine Physician
804330
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1534548
—
TN
Enumeration date
05/06/2010
Last updated
09/24/2018
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