Provider Demographics
NPI:1932248838
Name:HOPE CANCER INSTITUTE, INC
Entity Type:Organization
Organization Name:HOPE CANCER INSTITUTE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:SADASIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-236-6986
Mailing Address - Street 1:4215 SHAWNEE DR
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66106-3642
Mailing Address - Country:US
Mailing Address - Phone:913-236-6986
Mailing Address - Fax:913-236-9681
Practice Address - Street 1:4215 SHAWNEE DR
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66106-3642
Practice Address - Country:US
Practice Address - Phone:913-236-6986
Practice Address - Fax:913-236-9681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0421612207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0001648Medicare ID - Type Unspecified