Provider Demographics
NPI:1457345712
Name:SABAPATHY, RAJENDRAN (MD)
Entity Type:Individual
Prefix:
First Name:RAJENDRAN
Middle Name:
Last Name:SABAPATHY
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 1:10550 QUIVIRA RD
Mailing Address - Street 2:SUITE 510
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2306
Mailing Address - Country:US
Mailing Address - Phone:913-894-9015
Mailing Address - Fax:913-894-9398
Practice Address - Street 1:10550 QUIVIRA RD
Practice Address - Street 2:SUITE 510
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66215-2306
Practice Address - Country:US
Practice Address - Phone:913-894-9015
Practice Address - Fax:913-894-9398
Is Sole Proprietor?:No
Enumeration Date:2005-09-01
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009002522207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
37135051OtherBCBS LEGACY
MOP01152850Medicare PIN
37135051OtherBCBS LEGACY
KSKA2813015Medicare PIN
MOMA4364041Medicare PIN
KSP01162826Medicare PIN