Provider Demographics
NPI:1780630368
Name:GAUR, RAKESH (MD, MPH, FACP)
Entity Type:Individual
Prefix:
First Name:RAKESH
Middle Name:
Last Name:GAUR
Suffix:
Gender:M
Credentials:MD, MPH, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9301 W 74TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:MERRIAM
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2217
Mailing Address - Country:US
Mailing Address - Phone:913-632-9100
Mailing Address - Fax:913-632-9159
Practice Address - Street 1:9301 W 74TH ST STE 100
Practice Address - Street 2:
Practice Address - City:MERRIAM
Practice Address - State:KS
Practice Address - Zip Code:66204-2217
Practice Address - Country:US
Practice Address - Phone:913-632-9100
Practice Address - Fax:913-632-9159
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005002888207RH0003X
KS31621207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00274857OtherRAILROAD MEDICARE
35464013OtherBCBS OF KANSAS CITY
5346692OtherAETNA
77786OtherHEALTHCARE USA
1882409OtherUHC
MO200376408Medicaid
MOG89209Medicare UPIN
MO200376408Medicaid
1882409OtherUHC
77786OtherHEALTHCARE USA