| NPI | 1427350248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALATHI TADAKAMALLA Owner 913-226-7332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: KS 04-34635) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2023-05-15 |