Provider Demographics
NPI:1336268648
Name:ANWURI, VERONICA A (MD)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:A
Last Name:ANWURI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:20 NE SAINT LUKES BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-6001
Mailing Address - Country:US
Mailing Address - Phone:816-347-5100
Mailing Address - Fax:816-347-5136
Practice Address - Street 1:20 NE SAINT LUKES BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-6001
Practice Address - Country:US
Practice Address - Phone:816-347-5100
Practice Address - Fax:816-347-5136
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2011-03-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2007004693207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO207370008Medicaid
MO207370008Medicaid