Female

Brenda Shoup MD

Gynecologic Oncology Physician in Merriam, KS(View on Map)

Full Name

Brenda Shoup MD

NPI Number

1043266620

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/26/2006

Specialties

(Taxonomies)

Code

207VX0201X

Primary Taxonomy

Yes

Licenses

State

Kansas
Missouri

License Number

431352
2005007820

Contact
Information

Purpose

Mailing
Location

Address

9100 W 74TH ST
9100 W 74TH ST

City

Merriam
Merriam

State

KS
KS

Postal Code

66204-4004
66204-4004

Country

US
US

Telephone Number

(913) 632-9100
(913) 632-9100

Identifiers

Identifier

35478013
77780
P00274849
2231144
7727356
200459402

Identifier State

Unknown
Unknown
Unknown
Unknown
Unknown
MO

Identifier Issuer

BCBS OF KC
HEALTHCARE USA
RAILROAD MEDICARE
UHC
AETNA
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/24/2024

Provider Address

Other Gynecologic Oncology Physician in Merriam, Kansas:

Female

Sara Lange

Merriam, KS

Specialties: Gynecologic Oncology Physician (Primary)Obstetrics & Gynecology Physician