Garth R Fraga, MD
Pathology, Pediatric Pathology in Kansas City, MO. Individual provider (NPI-1).
NPI number1497745657
StatusActive
Last updated in NPPESApr 30, 2026
Details
- NPI
- 1497745657
- Entity type
- Individual (NPI-1)
- Name
- Garth R Fraga
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2005
- Certification date
- Apr 30, 2026
- Last updated
- Apr 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0213X | Pathology, Pediatric Pathology | 2000153499 | MO | Yes |
Practice location
2401 Gillham RdKansas City, MO 64108-4619
Phone 816-234-3000
Mailing address
2401 Gillham RdAttn Provider Enrollment Dept
Kansas City, MO 64108-4619
Phone 816-701-5200
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