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Contact Information

JOSE L AGUILERA HEREDIA, MD
20 NE SAINT LUKES BLVD STE 240
LEE'S SUMMIT, MO64086-6019
 Phone: 816-931-1883
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOSE L AGUILERA HEREDIA · (Male)

NPI # 1598116261
Status Active
Credentials MD
Entity Individual
Enumeration date 06/23/2016
Last updated 06/25/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • KS License # 0449403
  • MO License # 2024011359
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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