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SUKUMAR ETHIRAJAN M.D. NPI 1396716056


NPI Information

NPI: 1396716056
Provider Name: SUKUMAR ETHIRAJAN, M.D.
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

Organization: KANSAS CITY UROLOGY CARE PA

PECOS Registration: Yes

Address:
12140 NALL AVE
SUITE 200
OVERLAND PARK, KS
ZIP 66209
Phone: (913) 498-7409
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Sukumar Ethirajan, M.D. is a hematology and oncology internal medicine in Overland Park, KS with 43 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. Sukumar Ethirajan, M.D. NPI is 1396716056. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12140 NALL AVE
SUITE 200
OVERLAND PARK, KS
ZIP 66209
Phone: (913) 498-7409
Fax: (913) 498-6136

The NPI 1396716056 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/31/2006 and was last updated on 6/25/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & Oncology102903MISSOURINo
2207RH0003XInternal MedicineHematology & Oncology04-24799KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15655903FMEDICARE PINMISSOURI
2E69462MEDICARE UPINKANSAS
3206822124MEDICAIDMISSOURI
45655903DMEDICARE PINKANSAS
5100149940BMEDICAIDKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.