Sukumar Ethirajan


Address: 12140 Nall Ave, Suite 305, Overland Park, KS 66209-2501

Sukumar Ethirajan (NPI# 1396716056, PAC ID# 9931235595) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY.

Physician Overview

Nation Provider ID (NPI) 1396716056
PAC ID by PECOS 9931235595
Professional Enrollment ID I20100407000501
Full Name Sukumar Ethirajan
Address 12140 Nall Ave
Suite 305
Overland Park
KS 66209-2501
Gender M
Graduation Year 1981
Primary Specialty HEMATOLOGY
Secondary Specialties HEMATOLOGY/ONCOLOGY, INTERNAL MEDICINE, MEDICAL ONCOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
260138 ST LUKES HOSPITAL OF KANSAS CITY
170104 SHAWNEE MISSION MEDICAL CENTER
260096 NORTH KANSAS CITY HOSPITAL
170182 MENORAH MEDICAL CENTER
260177 NEW LIBERTY HOSPITAL DISTRICT

Other Locations

Address Phone Organization
17525 Medical Ctr Pkwy, Independence, MO 64057-1824 8169943150 KANSAS CITY UROLOGY CARE PA
301 Ne Mulberry, Suite 200, Lees Summit, MO 64086-6017 8165241007 KANSAS CITY UROLOGY CARE PA
2750 Clay Edwards Dr, Suite 500, North Kansas City, MO 64116-3258 8165241007 KANSAS CITY UROLOGY CARE PA
10701 Nall Ave, Suite 100, Overland Park, KS 66211-1244 9133417985 KANSAS CITY UROLOGY CARE PA
12140 Nall Ave, Suite 305, Overland Park, KS 66209-2501

Organization Information

Office Location

Street Address 12140 NALL AVE
SUITE 305
City OVERLAND PARK
State KS
Zip 66209-2501

Physicians in the same location

Name Specialty Organization Address
Stacy D Younger Neurology Johnson County Neurology LLC 12140 Nall Ave, Suite 230, Leawood, KS 66209-2507
Anne Kobbermann Surgical Oncology Midwest Oncology Associates LLC 12140 Nall Ave, Overland Park, KS 66209-2507
John M Goldberg Internal Medicine Statland Medical Group LLC 12140 Nall Ave, Suite 100, Overland Park, KS 66209-2504
Theodore M Whitaker Internal Medicine Statland Medical Group LLC 12140 Nall Ave, Suite 100, Overland Park, KS 66209-2504
Christopher W Pelton Nurse Practitioner Statland Medical Group LLC 12140 Nall Ave, Suite 100, Overland Park, KS 66209-2504
Marie A Delcambre Internal Medicine 12140 Nall Ave, Suite 125, Overland Park, KS 66209-2503
Christian Allen Abrams Chiropractic 12140 Nall Ave, Suite 115, Overland Park, KS 66209-2503
Jeanine R Showalter Nurse Practitioner Midwest Oncology Associates LLC 12140 Nall Ave, Suite 200, Overland Park, KS 66209-2507
Peter J Van Veldhuizen Jr. Hematology/oncology Midwest Oncology Associates LLC 12140 Nall Ave, Suite 200, Overland Park, KS 66209-2507
Pandurang P Chillal Internal Medicine Statland Medical Group LLC 12140 Nall Ave, Suite 100, Overland Park, KS 66209-2504
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Physicians in the same zip code

Name Specialty Organization Address
Shane Bisson Chiropractic Catalyst Health Center, Pa 12100 State Line Rd, Leawood, KS 66209-1201
Marcus S Juracek Chiropractic Catalyst Health Center, Pa 12100 State Line Rd, Leawood, KS 66209-1201
David Adam Boender Chiropractic Catalyst Health Center, Pa 12100 State Line Rd, Leawood, KS 66209-1201
Kenneth A Bono Optometry 12116 State Line Rd, Leawood, KS 66209-1254
Mary P Marshall Psychologist, Clinical 2221 W 124th St, Leawood, KS 66209-1305
William J Nowack Neurology Remote Neuromonitoring Physicians PC 12417 Howe Dr, Leawood, KS 66209-1451
Nelopher Hathiary Internal Medicine 12720 State Line Rd, Leawood, KS 66209-1619
Deborah R Hellinger Diagnostic Radiology Brfhh Monroe LLC 13213 Overbrook Rd, Leawood, KS 66209-1628
Michael J Reilly Emergency Medicine Kansas City Community Hospital LLC 13200 State Line Rd, Leawood, KS 66209-1701
Anne Marie B Hall Emergency Medicine Kansas City Community Hospital LLC 13200 State Line Rd, Leawood, KS 66209-1701
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Competitor

Search similar physicians

City OVERLAND PARK
Zip Code 66209
Specialty HEMATOLOGY
City + Specialty OVERLAND PARK + HEMATOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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