Provider Demographics
NPI:1871179531
Name:ARVANITAKIS, ALEXANDRA VOULA (MD)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:VOULA
Last Name:ARVANITAKIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9140 WARD PARKWAY SUITE 201
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114
Mailing Address - Country:US
Mailing Address - Phone:816-523-0066
Mailing Address - Fax:816-523-0034
Practice Address - Street 1:9140 WARD PARKWAY SUITE 201
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114
Practice Address - Country:US
Practice Address - Phone:816-523-0066
Practice Address - Fax:816-523-0034
Is Sole Proprietor?:No
Enumeration Date:2021-03-23
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024034411208000000X
WAMDRE.ML.61162287208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics