Provider Demographics
NPI:1730115361
Name:ROMANAS, MARIA MAGDALENE (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:MAGDALENE
Last Name:ROMANAS
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:MAGDALENE
Other - Last Name:HANGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10509 E 81ST TER
Mailing Address - Street 2:
Mailing Address - City:RAYTOWN
Mailing Address - State:MO
Mailing Address - Zip Code:64138-2147
Mailing Address - Country:US
Mailing Address - Phone:816-358-5147
Mailing Address - Fax:
Practice Address - Street 1:KANSAS CITY VA MEDICAL CENTER
Practice Address - Street 2:4801 E. LINWOOD BLVD
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64128
Practice Address - Country:US
Practice Address - Phone:816-922-2408
Practice Address - Fax:816-922-3306
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-31242207ZP0102X
MO2006027562207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology