Provider Demographics
NPI:1366551533
Name:CHILAPPA, KIRANMAYI (MD)
Entity type:Individual
Prefix:DR
First Name:KIRANMAYI
Middle Name:
Last Name:CHILAPPA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:KIRANMAYI
Other - Middle Name:
Other - Last Name:MANTHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6420 PROSPECT AVE
Mailing Address - Street 2:ST 509
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64132-4147
Mailing Address - Country:US
Mailing Address - Phone:816-276-4800
Mailing Address - Fax:816-523-1425
Practice Address - Street 1:6420 PROSPECT AVE
Practice Address - Street 2:ST 509
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132-4147
Practice Address - Country:US
Practice Address - Phone:816-276-4800
Practice Address - Fax:816-523-1425
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010020375207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE04295OtherBLUECROSS BLUESHIELD
NE209366103OtherMISSOURI MEDICAID
NE244024OtherMIDLANDS CHOICE
NE8900047OtherAMERICHOICE
NE8900047OtherUNITED HEALTH CARE
NE270892OtherCOVENTRY OF NEBRASKA
NE200297540AOtherKANSAS MEDICAID
NE582668OtherIOWA MEDICAID
NE7711990OtherSOUTH DAKOTA MEDICAID
NE8900047OtherAMERICHOICE
I12552Medicare UPIN
NE8900047OtherUNITED HEALTH CARE