Provider Demographics
NPI:1396061966
Name:TOWSLEY, MATTHEW SHADE (MD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:SHADE
Last Name:TOWSLEY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:8000 W 110TH ST
Mailing Address - Street 2:STE 150
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2382
Mailing Address - Country:US
Mailing Address - Phone:913-599-6777
Mailing Address - Fax:913-599-3955
Practice Address - Street 1:2411 HOLMES ST
Practice Address - Street 2:UMKC SCHOOL OF MEDICINE RESIDENCY PROGRAM M2-302
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-2741
Practice Address - Country:US
Practice Address - Phone:816-932-2107
Practice Address - Fax:816-932-6104
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-07
Last Update Date:2023-09-14
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Provider Licenses
StateLicense IDTaxonomies
MO20160227192085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology