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Brenda Shoup, MD
Gynecologic Oncology Physician in Merriam, Kansas
NPI 1043266620

Brenda Shoup is a Gynecologic Oncology Physician based in Merriam, KS and is specialized in Gynecologic Oncology. Brenda Shoup practices in Merriam, KS and has the professional credentials of MD. The NPI Number for Brenda Shoup is 1043266620 and holds a License No. 2005007820 (Kansas).

The current practice location address for Brenda Shoup is 9100 W 74Th St, Merriam, KS and can be reached out via phone at 913-632-9100 and via fax at 913-632-9159.

Location: 9100 W 74Th St, Merriam, KS, 66204-4004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043266620
Provider Name
Brenda Shoup
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
9100 W 74Th St, Merriam, KS, 66204-4004
Phone Number
913-632-9100
Fax Number
913-632-9159
Provider Enumeration Date
05/26/2006
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
35478013 01 BCBS OF KC
77780 01 HEALTHCARE USA
P00274849 01 RAILROAD MEDICARE
2231144 01 UHC
7727356 01 AETNA
200459402 05 MO
institution
Provider Business Practice Location Address Details
Address
9100 W 74Th St
City
Merriam
State
Kansas
Zip
66204-4004
Phone Number
913-632-9100
Fax Number
913-632-9159
person
Provider Business Mailing Address Details
Address
9100 W 74Th St
City
Merriam
State
Kansas
Zip
66204-4004
Phone Number
913-632-9100
Fax Number
913-632-9159
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecologic Oncology
Taxonomy
207VX0201X
License No.
2005007820 (Missouri)
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
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