Provider Demographics
NPI:1235574823
Name:RAUT, NAMRATA ABHISHEK (MD)
Entity Type:Individual
Prefix:
First Name:NAMRATA
Middle Name:ABHISHEK
Last Name:RAUT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NAMRATA
Other - Middle Name:
Other - Last Name:PATIL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3901 RAINBOW BLVD DEPT OF
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-8500
Mailing Address - Country:US
Mailing Address - Phone:913-588-6944
Mailing Address - Fax:913-588-6765
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8500
Practice Address - Country:US
Practice Address - Phone:913-588-6944
Practice Address - Fax:913-588-6765
Is Sole Proprietor?:No
Enumeration Date:2013-05-08
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-45866208100000X
KYR3307208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation