Provider Demographics
NPI:1699719336
Name:GOMES, MARIA N (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:N
Last Name:GOMES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8901 W 74TH ST
Mailing Address - Street 2:SUITE 269
Mailing Address - City:MERRIAM
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2204
Mailing Address - Country:US
Mailing Address - Phone:913-676-7585
Mailing Address - Fax:
Practice Address - Street 1:8901 W 74TH ST
Practice Address - Street 2:SUITE 269
Practice Address - City:MERRIAM
Practice Address - State:KS
Practice Address - Zip Code:66204-2204
Practice Address - Country:US
Practice Address - Phone:913-676-7585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006003132207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
36623024OtherBCBS OF KANSAS CITY
MOY36000021Medicare PIN
F77535Medicare UPIN
36623024OtherBCBS OF KANSAS CITY