Provider Demographics
NPI:1467593095
Name:SHAWNEE MISSION HEMATOLOGY AND ONCOLOGY
Entity Type:Organization
Organization Name:SHAWNEE MISSION HEMATOLOGY AND ONCOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BANSHI
Authorized Official - Middle Name:
Authorized Official - Last Name:KASHYAP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-236-4500
Mailing Address - Street 1:PO BOX 413081
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64141-3081
Mailing Address - Country:US
Mailing Address - Phone:913-248-9693
Mailing Address - Fax:913-248-9383
Practice Address - Street 1:8901 W 74TH ST
Practice Address - Street 2:SUITE 312
Practice Address - City:SHAWNEE MISSION
Practice Address - State:KS
Practice Address - Zip Code:66204-2204
Practice Address - Country:US
Practice Address - Phone:913-236-4500
Practice Address - Fax:913-236-4549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-17448207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSM340000Medicare ID - Type Unspecified