Provider Demographics
NPI:1306948609
Name:AAMODT, CARLA BETH (MD)
Entity type:Individual
Prefix:DR
First Name:CARLA
Middle Name:BETH
Last Name:AAMODT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2650 SHAWNEE MISSION PARKWAY WESTWOOD INTERNAL MEDICINE
Mailing Address - Street 2:#2201
Mailing Address - City:WESTWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66205
Mailing Address - Country:US
Mailing Address - Phone:913-588-9800
Mailing Address - Fax:913-588-9803
Practice Address - Street 1:2650 SHAWNEE MISSION PKWY STE 2201
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:KS
Practice Address - Zip Code:66205-2003
Practice Address - Country:US
Practice Address - Phone:913-588-9800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04-29542207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO205810104Medicaid
B94000001Medicare PIN
H25846Medicare UPIN