Provider Demographics
NPI:1568783603
Name:NAGARAJAN, DARBHAMULLA VENKATA (MBBS)
Entity Type:Individual
Prefix:
First Name:DARBHAMULLA
Middle Name:VENKATA
Last Name:NAGARAJAN
Suffix:
Gender:M
Credentials:MBBS
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Other - Credentials:
Mailing Address - Street 1:3901 RAINBOW BLVD # MS 3006
Mailing Address - Street 2:ROOM 1001 EATON
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66103-2937
Mailing Address - Country:US
Mailing Address - Phone:913-588-3827
Mailing Address - Fax:913-588-6010
Practice Address - Street 1:3901 RAINBOW BLVD # MS 3006
Practice Address - Street 2:ROOM 1001 EATON
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66103-2937
Practice Address - Country:US
Practice Address - Phone:913-588-3827
Practice Address - Fax:913-588-6010
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-11
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KSPENDING207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology