Mrs Punam Pam Shastri, DO | |
3901 Rainbow Blvd, 2026 Miller Mail Stop 4004, Kansas City, KS 66160 | |
(913) 588-6301 | |
(913) 588-6319 |
Full Name | Mrs Punam Pam Shastri |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 3901 Rainbow Blvd, Kansas City, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487764544 | NPI | - | NPPES |
244966305 | Medicaid | MO | |
370011203 | Other | RR MEDICARE | |
25039042 | Other | MO | BCBS KANSAS CITY |
646140 | Other | FIRSTGUARD | |
100314530A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 05-27296 (Kansas) | Primary |
Entity Name | Kansas University Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003858333 PECOS PAC ID: 8921911587 Enrollment ID: O20040401000328 |
Entity Name | University Of Kansas Hospital Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528019502 PECOS PAC ID: 9436054798 Enrollment ID: O20050908001103 |
Mailing Address | Practice Location Address |
---|---|
Mrs Punam Pam Shastri, DO 3901 Rainbow Blvd, 4070 Delp Mail Stop 4017, Kansas City, KS 66160-7816 Ph: () - | Mrs Punam Pam Shastri, DO 3901 Rainbow Blvd, 2026 Miller Mail Stop 4004, Kansas City, KS 66160 Ph: (913) 588-6301 |
Carissa Lynn Stanton, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Rainbow Blvd, Mail Stop 1037, Kansas City, KS 66160 Phone: 913-588-6329 | |
Mrs. Elizabeth Anne Pitts, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Rainbow Blvd, Miller 2013, Kansas City, KS 66160 Phone: 913-588-6917 Fax: 913-588-6280 | |
Miss Susan Cannon, PT, DPT, MSED Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Center For Child Health And Development, 3901 Rainbow Blvd., Mail Stop 4003, Kansas City, KS 66160 Phone: 913-588-5588 Fax: 913-588-5916 | |
Chaitali Nilkanth Mahajan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Rainbow Blvd, Mailstop 4004, Kansas City, KS 66160 Phone: 913-588-6034 | |
Dr. David B Yu, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2040 Hutton Rd, Suite 102, Kansas City, KS 66109 Phone: 913-299-3700 Fax: 913-299-3050 | |
Dr. Kelly D Kreisler, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Rainbow Blvd, Mail Stop 4004, Kansas City, KS 66103 Phone: 913-588-5000 | |
Lisa S Gilmer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Rainbow Blvd, 2026 Miller Mail Stop 4004, Kansas City, KS 66160 Phone: 913-588-6301 Fax: 913-588-6319 |