Individual
PETER N TADROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 CAMBRIDGE ST STE G600, KANSAS CITY, KS 66160-8501
(913) 588-9600
Mailing address
4000 CAMBRIDGE ST STE G600, KANSAS CITY, KS 66160-8501
(913) 588-9600
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
04-28224
KS
207RC0000X
Cardiovascular Disease Physician
106045
MO
207RI0011X
Interventional Cardiology Physician
Primary
04-28224
KS
207RI0011X
Interventional Cardiology Physician
106045
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055651
BCBS KS
KS
05
—
100338500A
—
KS
05
—
100338500B
—
KS
05
—
203934906
—
MO
01
—
25756017
BCBS KC
MO
Enumeration date
08/17/2006
Last updated
12/18/2018
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