Provider Demographics
NPI:1801973813
Name:KHOSLA, PARVEEN KUMAR (MD)
Entity type:Individual
Prefix:
First Name:PARVEEN
Middle Name:KUMAR
Last Name:KHOSLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:PARVEEN
Other - Middle Name:
Other - Last Name:KUMAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1004 CARONDELET DR STE 300
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-4858
Mailing Address - Country:US
Mailing Address - Phone:816-942-4500
Mailing Address - Fax:816-941-4504
Practice Address - Street 1:1004 CARONDELET DR STE 300
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-4858
Practice Address - Country:US
Practice Address - Phone:816-942-4500
Practice Address - Fax:816-941-4504
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR3J422084N0008X, 2084V0102X, 2084N0400X, 2084N0600X
MOMDR3J422084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0008XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular Medicine
No2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100132040BMedicaid
KS100132040BMedicaid
MOX092271AMedicare PIN
MOP00463266Medicare PIN
MOX092271Medicare PIN
KS100132040BMedicaid
MO152360170Medicare PIN
D35767Medicare UPIN