Provider Demographics
NPI:1689627473
Name:SINCLAIR, CHRISTIAN T (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:T
Last Name:SINCLAIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3901 RAINBOW BLVD
Mailing Address - Street 2:MS 1020
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-8500
Mailing Address - Country:US
Mailing Address - Phone:913-588-3807
Mailing Address - Fax:913-588-3877
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:MS 1020
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8500
Practice Address - Country:US
Practice Address - Phone:913-588-3807
Practice Address - Fax:913-588-3877
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2016-12-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2004018274207R00000X
KS04-30752207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I26106Medicare UPIN