Individual
DR. SHELLEY B BHATTACHARYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, MPH
Contact information
Practice address
3901 RAINBOW BLVD, MS 4017, KANSAS CITY, KS 66160-0001
(913) 588-1944
(913) 588-2496
Mailing address
PO BOX 411851, KANSAS CITY, MO 64141-1851
(913) 588-1944
(913) 588-2496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0531480
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200334220A
—
KS
01
—
35853013
BCBS OF KANSAS CITY
—
01
—
927660
FIRSTGUARD
KS
01
—
P00268409
RAILROAD MEDICARE
—
Enumeration date
08/15/2006
Last updated
07/16/2014
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