Kakumanu, Srinivasa R
Kakumanu, Srinivasa R is an individual health care provider with primary practice located at 9100 W 74Th St , Shawnee Mission KS 66204-4004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Kakumanu, Srinivasa R can be contacted via phone (913) 676-2000.Contact Information
Primary practice address
9100 W 74Th St
Shawnee Mission KS 66204-4004
Phone: (913) 676-2000
Fax: (913) 789-3190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 04-31418 | Kansas |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 04-31418 | Kansas |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2013002440 | Missouri |
Profile Details
| NPI number | 1538251020 |
|---|---|
| LBN Legal business name | Kakumanu, Srinivasa R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | May 1st, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538251020 | NPPES |
| Kansas | Other | 36056012 | BLUE CROSS |
| Kansas | Other | 927945 | BLUE CROSS |
| Kansas | MEDICAID | 200355490A | BLUE CROSS |
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