Basic Information
| Provider Information | |||||||||
| NPI: | 1568783603 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NAGARAJAN | ||||||||
| FirstName: | DARBHAMULLA | ||||||||
| MiddleName: | VENKATA | ||||||||
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| Credential: | MBBS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3901 RAINBOW BLVD # MS 3006 | ||||||||
| Address2: | ROOM 1001 EATON | ||||||||
| City: | KANSAS CITY | ||||||||
| State: | KS | ||||||||
| PostalCode: | 661032937 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9135883827 | ||||||||
| FaxNumber: | 9135886010 | ||||||||
| Practice Location | |||||||||
| Address1: | 3901 RAINBOW BLVD # MS 3006 | ||||||||
| Address2: | ROOM 1001 EATON | ||||||||
| City: | KANSAS CITY | ||||||||
| State: | KS | ||||||||
| PostalCode: | 661032937 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9135883827 | ||||||||
| FaxNumber: | 9135886010 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2010 | ||||||||
| LastUpdateDate: | 06/11/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0001X | PENDING | KS | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Clinical Cardiac Electrophysiology |
No ID Information.