Provider Demographics
NPI:1457448706
Name:GATAPIA, RAMILO INOCENCIO (MD)
Entity Type:Individual
Prefix:
First Name:RAMILO
Middle Name:INOCENCIO
Last Name:GATAPIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 22499
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64113
Mailing Address - Country:US
Mailing Address - Phone:816-926-9881
Mailing Address - Fax:816-926-9880
Practice Address - Street 1:1609 W 92ND ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-3210
Practice Address - Country:US
Practice Address - Phone:816-588-4526
Practice Address - Fax:816-926-9880
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO103443207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO208191528Medicaid
MO110195846OtherRAILROAD MEDICARE
MO0009291Medicare ID - Type Unspecified
MO208191528Medicaid