Organization
CHAJUTA GUSS MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAJUTA GUSS MD (OWNER)
(913) 381-9260
Entity
Organization
Contact information
Practice address
1001 6TH AVE, SUITE 320, LEAVENWORTH, KS 66048
(913) 682-7705
Mailing address
PO BOX 12030, OVERLAND PARK, KS 66282-2030
(913) 381-9260
(913) 383-8336
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16795
BLUE CROSS & BLUE SHIELD
KS
01
—
30860019
GREATER KC AREA BCBS
KS
Enumeration date
11/22/2006
Last updated
08/22/2020
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