Basic Information
Provider Information
NPI: 1114106515
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHAFER
FirstName: LIUDMILA
MiddleName: N
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 901 E 104TH ST
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641314517
CountryCode: US
TelephoneNumber: 8165999499
FaxNumber:  
Practice Location
Address1: 4321 WASHINGTON ST STE 4000
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641115965
CountryCode: US
TelephoneNumber: 8169323300
FaxNumber: 8169325793
Other Information
ProviderEnumerationDate: 11/01/2007
LastUpdateDate: 12/02/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/02/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X43897TNN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RH0003X04-42880KSN Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
207RX0202XE-6971ARN Allopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
208M00000X43897TNN Allopathic & Osteopathic PhysiciansHospitalist 
207RH0003X2019047145MOY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


Home