Individual
ANAND VENUGOPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12330 METCALF AVE STE 420, OVERLAND PARK, KS 66213-1307
(913) 491-9100
(913) 491-9135
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131
(913) 491-9100
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0445850
KS
207RG0100X
Gastroenterology Physician
2022008557
MO
390200000X
Student in an Organized Health Care Education/Training Program
4301109278
MI
Other
Enumeration date
06/06/2016
Last updated
06/09/2022
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