Provider Demographics
NPI:1023173929
Name:SOSLAND, RACHEL HELENE (MD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:HELENE
Last Name:SOSLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:HELENE
Other - Last Name:PASE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5701 W 119TH ST
Mailing Address - Street 2:STE 430
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66209-3721
Mailing Address - Country:US
Mailing Address - Phone:913-253-3000
Mailing Address - Fax:
Practice Address - Street 1:5701 W 119TH ST
Practice Address - Street 2:430
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66209-3721
Practice Address - Country:US
Practice Address - Phone:913-253-3000
Practice Address - Fax:913-663-2980
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-31455207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1023173929Medicaid
MOK67000013OtherMEDICARE PTAN
KS450D00002DOtherMEDICARE JOHNSON COUNTY
KS200615470BMedicaid
MO450A00002AOtherMEDICARE JACKSON COUNTY
MOK67000013OtherENCOMPASS MEDICARE NUMBER
KSK67A00004OtherMEDICARE PTAN
MOP00816045OtherRR MEDICARE
KS450D00002DOtherMEDICARE JOHNSON COUNTY
MO450A00002AOtherMEDICARE JACKSON COUNTY
MO1023173929Medicaid