| Tlc Pediatrics, Pc | |
|
2925 Clinton Rd Sedalia MO 65301-7915 | |
| (660) 829-5852 | |
| (660) 829-5854 |
| Full Name | Tlc Pediatrics, Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2925 Clinton Rd, Sedalia, Missouri |
| Authorized Official Name and Position | Assad U Shaffiey (PRESIDENT) |
| Authorized Official Contact | 6608295852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlc Pediatrics, Pc 2925 Clinton Rd Sedalia MO 65301-7915 Ph: (660) 829-5852 | Tlc Pediatrics, Pc 2925 Clinton Rd Sedalia MO 65301-7915 Ph: (660) 829-5852 |
| NPI Number | 1578665451 |
|---|---|
| Provider Enumeration Date | 09/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578665451 | NPI | - | NPPES |
| G85947 | Other | MO | MERCY |
| 372430 | Medicaid | MO | |
| 1200057 | Other | MO | UHC |
| 18833 | Medicaid | MO | |
| 25282044 | Other | MO | BCBS |
| 392869 | Other | MO | HEALTHLINK/FREEDOM NET |
| 9518 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 115544 (Missouri) | Primary |
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