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Individual

PHANI AKELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3901 RAINBOW BLVD STE 2, KANSAS CITY, KS 66160-3604
(913) 588-6035
(810) 342-5810
Mailing address
3901 RAINBOW BLVD # MS 1028, KANSAS CITY, KS 66160-8500
(913) 588-6035
(913) 945-6916

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301104563
MI
207RI0200X
Infectious Disease Physician
Primary
94-11686
KS

Other

Enumeration date
06/26/2014
Last updated
07/01/2024
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