Provider Demographics
NPI:1023305661
Name:POSTIGO JASAHUI, MAYKOL RENE ALEXANDER (MD)
Entity type:Individual
Prefix:
First Name:MAYKOL
Middle Name:RENE ALEXANDER
Last Name:POSTIGO JASAHUI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 RAINBOW BLVD, MS 3007
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66106
Mailing Address - Country:US
Mailing Address - Phone:913-588-6046
Mailing Address - Fax:913-588-4098
Practice Address - Street 1:3901 RAINBOW BLVD, MS 3007
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66106
Practice Address - Country:US
Practice Address - Phone:913-588-6046
Practice Address - Fax:913-588-4098
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-04
Last Update Date:2017-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0437319207R00000X
GA77759207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine