Midwest Idkc | |
8800 State Line Road Leawood KS 66206-1553 | |
(913) 383-9099 | |
(913) 383-9611 |
Full Name | Midwest Idkc |
---|---|
Speciality | Internal Medicine |
Location | 8800 State Line Road, Leawood, Kansas |
Authorized Official Name and Position | Atul Gupta (PRESIDENT) |
Authorized Official Contact | 9133839099 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Midwest Idkc 8800 State Line Road Leawood KS 66206-1553 Ph: (913) 383-9099 | Midwest Idkc 8800 State Line Road Leawood KS 66206-1553 Ph: (913) 383-9099 |
NPI Number | 1568180925 |
---|---|
Provider Enumeration Date | 08/19/2022 |
Last Update Date | 08/19/2022 |
Medicare PECOS PAC ID | 5991171886 |
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Medicare Enrollment ID | O20221018001256 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568180925 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Atul Gupta |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1790826063 PECOS PAC ID: 0648348193 Enrollment ID: I20221025002768 |
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