Provider Demographics
NPI:1881692960
Name:RUPANI, MAHENDRA K (MD)
Entity type:Individual
Prefix:DR
First Name:MAHENDRA
Middle Name:K
Last Name:RUPANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:11261 NALL AVE
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1675
Mailing Address - Country:US
Mailing Address - Phone:913-261-2020
Mailing Address - Fax:913-261-2090
Practice Address - Street 1:4321 WASHINGTON ST
Practice Address - Street 2:STE. 2100
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-5961
Practice Address - Country:US
Practice Address - Phone:913-261-2020
Practice Address - Fax:913-261-2020
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR7599207W00000X
KS0424187207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C51312Medicare UPIN
MO4055094AMedicare PIN
KS180044390Medicare PIN
MOP00010090Medicare PIN
KS4055094EMedicare PIN