Provider Demographics
NPI:1821610692
Name:SEGOVIA, STARLA (MD)
Entity type:Individual
Prefix:
First Name:STARLA
Middle Name:
Last Name:SEGOVIA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:DEPARTMENT OF RADIOLOGY 3901 RAINBOW BLVD MS 4032
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-0001
Mailing Address - Country:US
Mailing Address - Phone:913-588-1847
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF RADIOLOGY 3901 RAINBOW BLVD MS 4032
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-4926
Practice Address - Country:US
Practice Address - Phone:913-588-1847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-14
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04-509732085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology