Individual
DR. MIRSAD DUPANOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-0001
(913) 588-3315
(913) 588-3365
Mailing address
PO BOX 411851, KANSAS CITY, MO 64141-1851
(913) 588-3315
(913) 588-3365
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04-32817
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026573101
UNIVERA PROVIDER#
NY
01
—
000922097001
BD WNY/HEALTHNOW#
—
05
—
00372225
—
NY
05
—
02410415
—
NY
01
—
2222
BLUE SHIELD GROUP#
NY
01
—
7995442
AETNA PROVIDER#
—
01
—
G0189393590
BLUE CHOICE GROUP#
NY
01
—
MDH506
PREFERRED CARE#
—
01
—
P010226079
BLUE CHOICE PROVIDER#
—
Enumeration date
07/10/2006
Last updated
07/24/2014
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