Individual
SHALINA D. GUPTA-BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2750 CLAY EDWARDS DR LOWR LEVEL010, NORTH KANSAS CITY, MO 64116-3237
(816) 691-5216
Mailing address
11300 CORPORATE AVE, LENEXA, KS 66219-1374
(913) 574-2800
(913) 574-2336
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
04-30933
KS
2085R0001X
Radiation Oncology Physician
04-30933
KS
2085R0001X
Radiation Oncology Physician
Primary
2004025511
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200277910C
—
KS
05
—
200277910H
—
KS
05
—
200277910I
—
KS
05
—
209412303
—
MO
Enumeration date
01/31/2006
Last updated
12/11/2018
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