Provider Demographics
NPI:1942297932
Name:ROSENTHAL, HOWARD G (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:G
Last Name:ROSENTHAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:12140 NALL AVE
Mailing Address - Street 2:SUITE 200-A
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66209-2507
Mailing Address - Country:US
Mailing Address - Phone:913-498-6840
Mailing Address - Fax:913-696-1434
Practice Address - Street 1:12140 NALL AVE.
Practice Address - Street 2:SUITE 200-A
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66209-2507
Practice Address - Country:US
Practice Address - Phone:913-498-6840
Practice Address - Fax:913-696-1434
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-04
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS0421610207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100130000BMedicaid
MO203182324Medicaid
KS100130000BMedicaid
MO203182324Medicaid