| Doctor Name: | MICHAEL J GAUGHAN |
| NPI Number: | 1063432169 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 04-17000 |
| Business Practice Address: | 9100 W 74th St Shawnee Mission, KS - 662044004 |
| Business Phone Number: | 9136762310 |
| Business Fax Number: | |
| Mailing Address: | 9212 Nieman Rd, OVERLAND PARK |
| State: | KS |
| Postal Code: | 662141868 |
| Phone Number: | 9135996777 |
| Fax Number: | 9135993955 |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 04-17000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |