Provider Demographics
NPI:1376523563
Name:ALLAN, JOSEPH J (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:J
Last Name:ALLAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2330 SHAWNEE MISSION PARKWAY
Mailing Address - Street 2:MEDICAL ADMINISTRATIVE SERVICES OF KU STE. 312
Mailing Address - City:WESTWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66205-0000
Mailing Address - Country:US
Mailing Address - Phone:913-945-5614
Mailing Address - Fax:913-945-5617
Practice Address - Street 1:10787 NALL AVE
Practice Address - Street 2:STE. 310
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1375
Practice Address - Country:US
Practice Address - Phone:913-945-6900
Practice Address - Fax:913-945-6970
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2011-09-16
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Provider Licenses
StateLicense IDTaxonomies
MOR3509207R00000X
KS04-14838207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOAL202908109Medicaid
KSJ61A00013Medicare PIN
MOC51499Medicare UPIN