Individual
DR. IVAN DAMJANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, DEPT OF PATHOLOGY, KANSAS CITY, KS 66160
(913) 588-7070
(913) 588-7073
Mailing address
3901 RAINBOW BLVD, 4070 DELP MAIL STOP 4017, KANSAS CITY, KS 66160-7816
(913) 588-7070
(913) 588-7073
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
04-25188
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22020015
BCBS KANSAS CITY
MO
01
—
625560
FIRSTGUARD
KS
Enumeration date
08/30/2006
Last updated
07/09/2007
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