Provider Demographics
NPI:1649238221
Name:ADMA, VISHAL K (MD)
Entity type:Individual
Prefix:
First Name:VISHAL
Middle Name:K
Last Name:ADMA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:15316 PERRY ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66221-7504
Mailing Address - Country:US
Mailing Address - Phone:913-488-9303
Mailing Address - Fax:913-962-1896
Practice Address - Street 1:2101 CORONA RD STE 102
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-2582
Practice Address - Country:US
Practice Address - Phone:573-234-1800
Practice Address - Fax:573-234-1799
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2023-11-22
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Provider Licenses
StateLicense IDTaxonomies
MO20001608662084P0800X
KS04282482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO205151202Medicaid