| Rozina A Mohiuddin, MD | |
|
7405 Renner Rd, Ku Medwest, Shawnee, KS 66217-9414 | |
| (913) 588-8400 | |
| (913) 588-8413 |
| Full Name | Rozina A Mohiuddin |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 7405 Renner Rd, Shawnee, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538100318 | NPI | - | NPPES |
| 10001637100 | Other | CHP PROVIDER NUMBER | |
| 1200924 | Other | AETNA | |
| 157695XX | Other | PREFERRED CARE NY | |
| 100304430B | Medicaid | KS | |
| 327055 | Other | FIRSTGUARD | |
| 24537042 | Other | BCBS | |
| 481159444 | Other | JAYHAWK TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 04-26433 (Kansas) | Primary |
| Entity Name | Kansas University Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003858333 PECOS PAC ID: 8921911587 Enrollment ID: O20040401000328 |
| Entity Name | Jayhawk Primary Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528025053 PECOS PAC ID: 8123928900 Enrollment ID: O20050721001078 |
| Mailing Address | Practice Location Address |
|---|---|
| Rozina A Mohiuddin, MD 2330 Shawnee Mission Pkwy, Medical Administrative Services Of Ku Med, Ste. 312, Westwood, KS 66205-2005 Ph: (913) 588-9000 | Rozina A Mohiuddin, MD 7405 Renner Rd, Ku Medwest, Shawnee, KS 66217-9414 Ph: (913) 588-8400 |
Huda H. Alani, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7405 Renner Rd, Ku Medwest, Shawnee, KS 66217 Phone: 913-588-8400 Fax: 913-588-8413 | |
Kathryn Louise Petelin, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 7405 Renner Rd, Shawnee, KS 66217 Phone: 913-588-6300 Fax: 913-274-3515 | |
Dr. Katherine A Phalen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7405 Renner Rd, Shawnee, KS 66217 Phone: 913-588-6300 Fax: 913-274-3515 | |
Paul J. Brown, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7405 Renner Rd, Ku Medwest, Shawnee, KS 66217 Phone: 913-588-8400 Fax: 913-588-8413 | |
Robert Breeden, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7405 Renner Rd, Shawnee, KS 66217 Phone: 913-588-6300 |