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)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:
Sara Lange
Merriam, KSSpecialties: Gynecologic Oncology Physician (Primary)Obstetrics & Gynecology Physician