Provider Demographics
NPI:1184620585
Name:VARGAS, HANNAH (MD)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:VARGAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:V
Other - Last Name:STECHSCHULTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 874480
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64187-0001
Mailing Address - Country:US
Mailing Address - Phone:913-764-2737
Mailing Address - Fax:913-764-7502
Practice Address - Street 1:20375 W 151ST ST.
Practice Address - Street 2:STE #106
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061
Practice Address - Country:US
Practice Address - Phone:913-764-2737
Practice Address - Fax:913-764-7502
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-29526207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
522765OtherHEALTHLINK
31908012OtherBCBS - KC
470383OtherBCBS - KS
D40017905OtherMEDICARE RAILROAD
102479Medicare ID - Type UnspecifiedMEDICARE - KS
MOD44B813Medicare ID - Type UnspecifiedMEDICARE KC
470383OtherBCBS - KS