Individual
DR. CHARLES MICHAEL SCIOLARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8919 PARALLEL PKWY, SUITE 203, KANSAS CITY, KS 66112-1636
(913) 660-0438
(913) 676-6059
Mailing address
3109 W 118TH ST, SUITE 101, LEAWOOD, KS 66211-3059
(913) 660-0438
(913) 676-6059
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
04-26585
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100255720B
—
KS
Enumeration date
07/29/2006
Last updated
10/23/2019
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