PAILLAMAN-BELLO, MARIA C (MD)

Provider Demographics

• NPI: 1235128703
• Name: PAILLAMAN-BELLO, MARIA C (MD)
• Entity Type: Individual
• First Name: MARIA
• Middle Name: C
• Last Name: PAILLAMAN-BELLO
• Gender: F
• Credentials: MD
• Other - First Name: MARIA
• Other - Middle Name: C
• Other - Last Name: PAILLAMAN
• Other - Last Name Type: Other Name
• Other - Credentials: MD
• Mailing Address - Street 1: 6345 LONG AVE
• Mailing Address - City: SHAWNEE
• Mailing Address - State: KS
• Mailing Address - Zip Code: 66216-2504
• Mailing Address - Country: US
• Mailing Address - Phone: 913-631-6400
• Mailing Address - Fax: 913-631-6868
• Practice Address - Street 1: 6345 LONG AVE
• Practice Address - City: SHAWNEE
• Practice Address - State: KS
• Practice Address - Zip Code: 66216-2504
• Practice Address - Country: US
• Practice Address - Phone: 913-631-6400
• Practice Address - Fax: 913-631-6868
• Is Sole Proprietor?: No
• Enumeration Date: 2005-10-18
• Last Update Date: 2021-09-17

Provider Licenses

State	License ID	Taxonomies
IN	01040775A	208M00000X
KS	04-40539	207R00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	207R00000X	Allopathic & Osteopathic Physicians	Internal Medicine
No	208M00000X	Allopathic & Osteopathic Physicians	Hospitalist

Provider Identifiers

State	Identifier ID	ID Type	Issuer
IN	4101762	Other	CARE GROUP - AETNA #
IN	1070457	Other	CARE GROUP - FIRST HEALTH
IN	467496	Other	CARE GROUP - HEALTHLINK #
IN	000000106972	Other	CARE GROUP - BCBS MARY ST
IN	100180990	Medicaid
IN	000000386243	Other	CARE GROUP - BCBS GATEWAY
IN	065759	Other	CARE GROUP - HAMP #
KY	64002009	Medicaid
IN	000000386243	Other	CARE GROUP - BCBS GATEWAY
IN	467496	Other	CARE GROUP - HEALTHLINK #
IN	1070457	Other	CARE GROUP - FIRST HEALTH
IN	065759	Other	CARE GROUP - HAMP #