Basic Information
Provider Information
NPI: 1336380799
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ANDRAWS
FirstName: NEVENE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4801 E LINWOOD BLVD
Address2: DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE
City: KANSAS CITY
State: MO
PostalCode: 641282226
CountryCode: US
TelephoneNumber: 8168614700
FaxNumber:  
Practice Location
Address1: 4801 E LINWOOD BLVD
Address2: DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE
City: KANSAS CITY
State: MO
PostalCode: 641282226
CountryCode: US
TelephoneNumber: 8168614700
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/16/2009
LastUpdateDate: 07/11/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZP0102X2011021423MOY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
207ZC0500X2011021423MON Allopathic & Osteopathic PhysiciansPathologyCytopathology

No ID Information.


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