| Sol Allan Enriquez, | |
|
3980 South Jackson Dr., Independence, MO 64057 | |
| (816) 795-1443 | |
| Not Available |
| Full Name | Sol Allan Enriquez |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 3980 South Jackson Dr., Independence, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699769356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2004019500 (Missouri) | Secondary |
| 208M00000X | Hospitalist | 2004019500 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Hospital Of Kansas City | Kansas city, MO | Hospital |
| Golden Valley Memorial Hospital | Clinton, MO | Hospital |
| Saint Luke's East Hospital | Lees summit, MO | Hospital |
| Saint Luke's South Hospital | Overland park, KS | Hospital |
| Centerpoint Medical Center | Independence, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Lukes Physician Group Inc | 3577476894 | 1094 |
| Saint Lukes Physician Group Inc | 3577476894 | 1094 |
| Entity Name | Saint Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20031111000818 |
| Mailing Address | Practice Location Address |
|---|---|
| Sol Allan Enriquez, Po Box 419380, Dept. 235, Kansas City, MO 64141-6380 Ph: () - | Sol Allan Enriquez, 3980 South Jackson Dr., Independence, MO 64057 Ph: (816) 795-1443 |
Dr. Ibrahim A Mourad, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 19550 E 39th St S, Suite 400, Independence, MO 64057 Phone: 816-254-4800 Fax: 816-254-4641 | |
Swapna Chebrolu, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 19550 E 39th Street, Independence, MO 64057 Phone: 816-698-8158 | |
Jayne Lora Opena Bumgarner, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4801 S Cliff Ave, Suite 300, Independence, MO 64055 Phone: 816-251-5200 Fax: 816-251-5299 | |
Dr. Yugandhar Kandimalla, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 19600 E 39th St S, Independence, MO 64057 Phone: 678-982-3590 Fax: 314-738-2088 |