MANISH KRISHNA KOTECHA


Address: 2401 Gillham Rd, Kansas City, MO 64108-4619
Phone: 8162343000

MANISH KRISHNA KOTECHA (NPI# 1346496528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346496528
Entity Type Individual
Full Name MANISH KRISHNA KOTECHA
Credential MD
Practice Address 2401 Gillham Rd
Kansas City
MO 64108-4619
Mailing Address 2401 Gillham Rd.
Provider Enrollment
Kansas City
MO 64108-4619
Practice Telephone 8162343000
Practice Fax Number 8163029939
Mailing Telephone (816) 701-5200
Mailing Fax Number 8163029939
Enumeration Date 2008-08-07
Last Update Date 2017-05-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085P0229X Radiology
Specialization: Pediatric Radiology
2017002989 MO Allopathic & Osteopathic Physicians
N 2085P0229X Radiology
Specialization: Pediatric Radiology
04-39843 KS Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
04-39843 KS Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
2017002989 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 207790101 05

Office Location

Street Address 2401 GILLHAM RD
City KANSAS CITY
State MO
Zip Code 64108-4619

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114921533 Brent Ellis Cully Radiology 2401 Gillham Rd, Kansas City, MO 64108-4619 2005-06-13
1649878265 Noelle Elise St. Jacques Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-10-15
1376150243 Casey M Bradshaw Nurse Practitioner 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-09-25
1457967606 Jennifer Coil Nurse Practitioner 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-09-22
1396359923 Kelli Nicole Ayars Nurse Practitioner 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-09-01
1407460058 Eric Bowles Health Educator 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-09-01
1740892504 Katlyn Kelley Nurse Practitioner 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-08-21
1528670759 Sarah Carstensen Nurse Practitioner 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-08-19
1619588373 Kacie E Cass Health Educator 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-08-14
1932719259 Maureen Elizabeth Guignon Nurse Practitioner 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-08-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194345561 Diversity Telehealth, LLC Health Educator 1601 East 18th Street, 320a, Kansas City, MO 64108 2020-04-25
1447894092 Claire-louise Sophia Young Student in an Organized Health Care Education/Training Program Truman Medical Center - Department of Pathology, 2301 Holmes, Kansas City, MO 64108 2019-11-06
1053962415 Kymberly Kline Behavior Technician Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 2019-09-26
1841854643 Mallak Ahmed Ghozlan Zatreh Student in an Organized Health Care Education/Training Program 2301 Homes Street, Kansas City, MO 64108 2019-04-26
1003470881 Sindhuja Palle Internal Medicine Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 2019-04-26
1467016253 Osama Mahmoud Okasha Internal Medicine Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 2019-04-26
1730643719 Michele D Smith Registered Nurse 2101 Charlotte Street, Urology, Kansas City, MO 64108 2019-01-24
1437640414 Omar Fayez Ahmad Abuqamar Student in an Organized Health Care Education/Training Program Truman Medical Center, 2301 Holmes St., Dept. of Internal Medicine, Kansas City, MO 64108 2018-05-24
1992200190 Hannah Rebekah Hurst Student in an Organized Health Care Education/Training Program 2101 Charlotte St Ste 200, Kansas City, MO 64108 2018-03-28
1659873404 William Andrew Carroll Chiropractor 313 E. 17th St. #210, Kansas City, MO 64108 2018-03-07
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Taxonomy Information

Taxonomy Code 2085P0229X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Pediatric Radiology

Taxonomy Definition

A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356631444 Emily S Orscheln Radiology 2401 Gillham Rd, Kansas City, MO 64108-4619 2011-04-11
1083933584 Brian S Dunoski Radiology 2401 Gillham Rd, Kansas City, MO 64108-4619 2010-05-24
1023274677 Sherwin Shiu-cheung Chan Radiology 2401 Gillham Rd, Kansas City, MO 64108-4619 2008-08-04
1477751329 Charlene Lava Radiology 2401 Gillham Road, Children's Mercy Hospital, Kansas City, MO 64108 2007-07-03
1861607665 Christopher Paul Keup Radiology 2401 Gillham Rd, Kansas City, MO 64108-4619 2007-05-14
1720200124 Amy Nicole Dahl Radiology 2401 Gillham Rd, Children's Mercy Hospital, Kansas City, MO 64108 2007-05-03
1104949304 Neil Joseph Mardis Radiology 2401 Gillham Rd, Kansas City, MO 64108-4619 2007-04-10
1891842365 Douglas Charles Rivard Radiology 2401 Gillham Rd., Kansas City, MO 64108 2007-01-05
1467559831 Kyo Rak Lee Radiology 3901 Rainbow Blvd, Mail Stop 4032, Kansas City, KS 66160 2006-09-20
1164470779 Megan Mcdonald Radiology 2401 Gillham Rd, Kansas City, MO 64108-4619 2006-05-05
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City KANSAS CITY
Zip Code 64108

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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