Provider Demographics
NPI:1053378455
Name:TABOADA-ARANA, EUGENIO MIGUEL (MD)
Entity type:Individual
Prefix:DR
First Name:EUGENIO
Middle Name:MIGUEL
Last Name:TABOADA-ARANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2401 GILLHAM RD
Mailing Address - Street 2:PATHOLOGY DEPARTMENT
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-4619
Mailing Address - Country:US
Mailing Address - Phone:816-234-3234
Mailing Address - Fax:816-802-1492
Practice Address - Street 1:2401 GILLHAM RD
Practice Address - Street 2:PATHOLOGY DEPARTMENT
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-4619
Practice Address - Country:US
Practice Address - Phone:816-234-3234
Practice Address - Fax:816-802-1492
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO107976207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOG45454Medicare UPIN