Provider Demographics
NPI:1326486630
Name:JIWANLAL, ANEEL KUMAR (MD)
Entity Type:Individual
Prefix:
First Name:ANEEL
Middle Name:KUMAR
Last Name:JIWANLAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:20920 W 151ST ST STE 100
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-7243
Mailing Address - Country:US
Mailing Address - Phone:913-782-1148
Mailing Address - Fax:913-782-1097
Practice Address - Street 1:20920 W 151ST ST STE 100
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061
Practice Address - Country:US
Practice Address - Phone:913-782-1148
Practice Address - Fax:913-782-1097
Is Sole Proprietor?:No
Enumeration Date:2013-06-08
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-42477207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery