Vikram P Zadoo, M.D.
Individual provider Active NPI Plastic Surgery Physician · Fairway, KS
NPI 1508845009 · NPPES record last updated Apr 12, 2019
Key facts
- NPI
- 1508845009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery Physician 208200000X
- License
- 2003015832 (MO)
- Practice address
- 5404 Chadwick Rd
Fairway, KS 66205-2623 - Phone
- (816) 585-6899
- NPI assigned
- Jan 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003015832 | MO | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas City Vascular & General Surgery Group LLC | Past | Accepting new patients | |
| Aesthetic Surgery Associates LLP | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | DR.0062008 | CO | |
| Plastic Surgery Physician | 208200000X | 2003015832 | MO | Yes |
Addresses
Primary practice location
5404 Chadwick Rd
Fairway, KS 66205-2623
Mailing address
5404 Chadwick Rd
Fairway, KS 66205-2623
Phone (816) 585-6899
Other practice location 1
6420 Prospect Ave
Suite T207
Kansas City, MO 64132-4147
Phone (816) 276-9100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208777904 | Medicaid | MO |
Other providers in Fairway, KS
All providers in Fairway, KS · Plastic Surgery Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.