Provider Demographics
NPI:1538332788
Name:ROSSO, FELIPE (MD)
Entity Type:Individual
Prefix:
First Name:FELIPE
Middle Name:
Last Name:ROSSO
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 1:1133 COLLEGE AVE BLDG G SUITE 100
Mailing Address - Street 2:ASSOCIATED UROLOGISTS PA
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-2770
Mailing Address - Country:US
Mailing Address - Phone:785-537-8710
Mailing Address - Fax:
Practice Address - Street 1:1133 COLLEGE AVE STE G100
Practice Address - Street 2:ASSOCIATED UROLOGISTS PA
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-2756
Practice Address - Country:US
Practice Address - Phone:785-537-8710
Practice Address - Fax:785-537-0562
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-36308208800000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program