Provider Demographics
NPI:1952893877
Name:CORTEZ, ANA LUCIA (DO)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:LUCIA
Last Name:CORTEZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:LUCIA
Other - Last Name:PRASHAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:10401 COLLEGE BLVD.
Mailing Address - Street 2:UNIT 5255
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210
Mailing Address - Country:US
Mailing Address - Phone:352-638-1765
Mailing Address - Fax:
Practice Address - Street 1:2401 GILLHAM RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-4619
Practice Address - Country:US
Practice Address - Phone:816-234-3030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-06
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116031564208000000X
MO20210244952080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics