Provider Demographics
NPI:1295785996
Name:ROSADO-DE-CHRISTENSON, MELISSA L (MD)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:L
Last Name:ROSADO-DE-CHRISTENSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:901 E 104TH ST
Mailing Address - Street 2:MAILSTOP 400
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-4517
Mailing Address - Country:US
Mailing Address - Phone:816-599-9499
Mailing Address - Fax:816-932-9670
Practice Address - Street 1:4401 WORNALL RD
Practice Address - Street 2:DEPARTMENT OF RADIOLOGY
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-3220
Practice Address - Country:US
Practice Address - Phone:816-932-2549
Practice Address - Fax:816-932-3939
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2017-12-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS331652085R0202X
OH350822272085R0202X
MO20080114882085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2468066Medicaid
OHRO4126122Medicare PIN
OHI01073Medicare UPIN