Individual
DR. BARRY A GUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4801 WEST 100TH ST, STE 100, OVERLAND PARK, KS 66211
(816) 276-3493
(913) 491-0411
Mailing address
4801 W 110TH ST, STE 100, OVERLAND PARK, KS 66211-1347
(816) 276-3493
(913) 491-0411
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R1P14
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100127600B
—
KS
01
—
1528169752
SECOND NPI NUMBER FOR MEDICARE GROUP # I2300A
MO
05
—
203090402
—
MO
01
—
300085116
RAILROAD MEDICARE
MO
01
—
300089030
RAILROAD MEDICARE
MO
Enumeration date
07/27/2006
Last updated
12/07/2010
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