Provider Demographics
NPI:1780633677
Name:ALBERTS, EKATERINA I (MD)
Entity Type:Individual
Prefix:
First Name:EKATERINA
Middle Name:I
Last Name:ALBERTS
Suffix:
Gender:F
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:PO BOX 140321
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-0321
Mailing Address - Country:US
Mailing Address - Phone:816-267-0253
Mailing Address - Fax:913-906-9799
Practice Address - Street 1:2200 SW GAGE BLD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66622-1737
Practice Address - Country:US
Practice Address - Phone:785-350-4347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-32433207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI51017Medicare UPIN