| Total Primary Care, LLC | |
|
5701 W 119th St Ste 150 Overland Park KS 66209-3750 | |
| (913) 339-9355 | |
| Not Available |
| Full Name | Total Primary Care, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 5701 W 119th St Ste 150, Overland Park, Kansas |
| Authorized Official Name and Position | Harish Ponnuru (OWNER) |
| Authorized Official Contact | 9133399355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Primary Care, LLC 5701 W 119th St Ste 150 Overland Park KS 66209-3750 Ph: (913) 339-9355 | Total Primary Care, LLC 5701 W 119th St Ste 150 Overland Park KS 66209-3750 Ph: (913) 339-9355 |
| NPI Number | 1700281656 |
|---|---|
| Provider Enumeration Date | 11/04/2014 |
| Last Update Date | 11/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700281656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 449157 (Kansas) | Primary |
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