Provider Demographics
NPI:1285692442
Name:MORELLO, FRANK P (MD)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:P
Last Name:MORELLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2401 GILLHAM RD
Mailing Address - Street 2:RADIOLOGY DEPT.
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-4619
Mailing Address - Country:US
Mailing Address - Phone:816-234-3273
Mailing Address - Fax:816-983-6912
Practice Address - Street 1:2401 GILLHAM RD
Practice Address - Street 2:RADIOLOGY DEPT.
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-4619
Practice Address - Country:US
Practice Address - Phone:816-234-3273
Practice Address - Fax:816-983-6912
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO20010112332085P0229X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H52037Medicare UPIN
269B429Medicare ID - Type Unspecified