| Kansas City Psychiatric Consultants, Inc | |
|
4240 Blue Ridge Blvd Suite 301 Kansas City MO 64133 | |
| (816) 291-4700 | |
| (816) 291-4600 |
| Full Name | Kansas City Psychiatric Consultants, Inc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 4240 Blue Ridge Blvd, Kansas City, Missouri |
| Authorized Official Name and Position | Shahbaz M Khan (OWNER) |
| Authorized Official Contact | 8162914700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kansas City Psychiatric Consultants, Inc 4240 Blue Ridge Blvd Ste 301 Kansas City MO 64133-1705 Ph: (816) 291-4700 | Kansas City Psychiatric Consultants, Inc 4240 Blue Ridge Blvd Suite 301 Kansas City MO 64133 Ph: (816) 291-4700 |
| NPI Number | 1407167661 |
|---|---|
| Provider Enumeration Date | 06/23/2010 |
| Last Update Date | 11/28/2017 |
| Medicare PECOS PAC ID | 6709917966 |
|---|---|
| Medicare Enrollment ID | O20100701000721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407167661 | NPI | - | NPPES |
| 1437213998 | Other | MO | NPI INDIVIDUAL |
| 1548615073 | Other | MO | NPI INDIVIDUAL |
| 1962591313 | Other | MO | NPI INDIVIDUAL |
| 1952361545 | Other | MO | NPI INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 2000145787 (Missouri) | Primary |
| Provider Name | Zafar Mahmood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952361545 PECOS PAC ID: 7416906466 Enrollment ID: I20050117000193 |
| Provider Name | Shahbaz M Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962591313 PECOS PAC ID: 5193809218 Enrollment ID: I20080228000325 |
| Provider Name | Roma Manzoor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437213998 PECOS PAC ID: 3476620873 Enrollment ID: I20080926000608 |
| Provider Name | Chika E Okafor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174969448 PECOS PAC ID: 9133355654 Enrollment ID: I20131111001412 |
| Provider Name | Tiffany Yelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548615073 PECOS PAC ID: 9830481928 Enrollment ID: I20160711001304 |
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