Individual
VELLORE KIRUBAKARAN
Active
Individual
VELLORE KIRUBAKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
04-19582
KS
2084P0800X
Psychiatry Physician
35824
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100115600D
—
KS
01
—
11476046
BCBS PROVIDER #
KS
01
—
11476056
BLUE SHIELD KANSAS CITY
KS
05
—
202129227
—
MO
01
—
260036797
RAILROAD MEDICARE
—
01
—
632223
BLUE SHIELD KANSAS
KS
Enumeration date
03/11/2007
Last updated
07/25/2012
Update your record
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