| NPI | 1982827523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADDAH Y GHOSHEH Business Manager 913-634-3540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2018-11-15 |