| Dr Paul G Diederich, MD | |
|
10787 Nall Ave, Ste. 310, Overland Park, KS 66211-1375 | |
| (913) 945-6900 | |
| (913) 945-6970 |
| Full Name | Dr Paul G Diederich |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 10787 Nall Ave, Overland Park, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003896895 | NPI | - | NPPES |
| DI201088119 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | R9699 (Missouri) | Secondary |
| 207R00000X | Internal Medicine | 04-33478 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul G Diederich, MD 2330 Shawnee Mission Parkway, Medical Administrative Services Of Ku Ste. 312, Westwood, KS 66205-0000 Ph: (913) 945-5614 | Dr Paul G Diederich, MD 10787 Nall Ave, Ste. 310, Overland Park, KS 66211-1375 Ph: (913) 945-6900 |
Dr. Matthew P Harrison, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 10116 W 105th St, Overland Park, KS 66212 Phone: 913-541-0510 Fax: 913-541-1852 | |
Soumojit Ghosh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10116 W 105th St, Overland Park, KS 66212 Phone: 913-541-0510 Fax: 913-541-1852 | |
Louay K. Sabih, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10550 Marty St Ste 201, Overland Park, KS 66212 Phone: 913-341-4000 Fax: 913-383-2868 | |
Dr. Lisa G. Distefano, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12541 Foster St Ste 300, Overland Park, KS 66213 Phone: 913-317-3200 Fax: 913-317-3218 | |
Mini R Abraham, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10000 College Blvd, Overland Park, KS 66210 Phone: 913-258-5055 Fax: 913-258-5057 | |
Jeena Viji Eapen, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 10540 Marty St Ste 100, Overland Park, KS 66212 Phone: 913-660-1616 Fax: 913-660-0998 |