Provider Demographics
NPI:1316913742
Name:MASRANI, KIRITKUMAR V (MD)
Entity type:Individual
Prefix:
First Name:KIRITKUMAR
Middle Name:V
Last Name:MASRANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 N 75TH PL
Mailing Address - Street 2:SUITE 101
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66112-2430
Mailing Address - Country:US
Mailing Address - Phone:913-334-6500
Mailing Address - Fax:913-334-6501
Practice Address - Street 1:1150 N 75TH PL STE 101
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66112-3302
Practice Address - Country:US
Practice Address - Phone:913-334-6500
Practice Address - Fax:913-334-6501
Is Sole Proprietor?:No
Enumeration Date:2006-02-25
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0424704207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100171030BMedicaid
MO208100206Medicaid
KS060039908Medicare PIN
KS055506Medicare PIN
F70731Medicare UPIN
KSJ645786Medicare PIN