Provider Demographics
NPI:1619960044
Name:BEEKI, VENKATADRI C (MD)
Entity Type:Individual
Prefix:DR
First Name:VENKATADRI
Middle Name:C
Last Name:BEEKI
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 1:11300 CORPORATE AVE
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-1374
Mailing Address - Country:US
Mailing Address - Phone:913-574-2800
Mailing Address - Fax:913-574-2336
Practice Address - Street 1:8700 N GREEN HILLS RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64154-1910
Practice Address - Country:US
Practice Address - Phone:913-574-2520
Practice Address - Fax:913-574-2612
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0429287207RH0003X
MO101169207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1619960044Medicaid
KS200426200BMedicaid
MOMA5127001Medicare PIN
KS200426200BMedicaid
MO1619960044Medicaid
MO5931611OtherAETNA
MO026295099OtherBLACK LUNG
MO205024300Medicaid
MO11162OtherCOVENTRY
MO582A409AMedicare ID - Type UnspecifiedMEDICARE OUTREACH
MO127474OtherADVANTRA MEDICARE HMO
MO480911591OtherCIGNA
MO27160018OtherBCBS
MO3600115OtherUHC
MO5931611OtherAETNA