Provider Demographics
NPI:1740236710
Name:PASNOORI, VENKAT R (MD)
Entity Type:Individual
Prefix:DR
First Name:VENKAT
Middle Name:R
Last Name:PASNOORI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8919 PARALLEL PKWY
Mailing Address - Street 2:STE 580
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66112-1636
Mailing Address - Country:US
Mailing Address - Phone:913-596-7224
Mailing Address - Fax:913-596-7257
Practice Address - Street 1:8919 PARALLEL PKWY STE 580
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66112-1655
Practice Address - Country:US
Practice Address - Phone:913-596-7224
Practice Address - Fax:913-596-7257
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0431337207RC0000X
MO2009001293207RI0011X
KS04-31337207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200333420AMedicaid
MO207385204Medicaid
7051652OtherAETNA
MO35627011OtherBCBS OF KANSAS CITY
H24142Medicare UPIN
MOMA1832003Medicare PIN