Provider Demographics
NPI:1801892377
Name:ANDERSON, JAMES D (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:D
Last Name:ANDERSON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:8401 W 125TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-1449
Mailing Address - Country:US
Mailing Address - Phone:913-338-3222
Mailing Address - Fax:913-338-3227
Practice Address - Street 1:8401 W 125TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-1449
Practice Address - Country:US
Practice Address - Phone:913-338-3222
Practice Address - Fax:913-338-3227
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2022-10-05
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Provider Licenses
StateLicense IDTaxonomies
KS0420419207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSB69011Medicare UPIN