| Med Management Of Kansas Llc | |
|
7272 Wurzbach Rd Ste 601 San Antonio TX 78240-4803 | |
| (210) 615-3483 | |
| Not Available |
| Full Name | Med Management Of Kansas Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7272 Wurzbach Rd Ste 601, San Antonio, Texas |
| Authorized Official Name and Position | Riaz Rahman (DIRECTOR) |
| Authorized Official Contact | 3213012886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Med Management Of Kansas Llc 7272 Wurzbach Rd Ste 601 San Antonio TX 78240-4803 Ph: (210) 615-3483 | Med Management Of Kansas Llc 7272 Wurzbach Rd Ste 601 San Antonio TX 78240-4803 Ph: (210) 615-3483 |
| NPI Number | 1942800859 |
|---|---|
| Provider Enumeration Date | 10/29/2020 |
| Last Update Date | 09/13/2021 |
| Certification Date | 09/13/2021 |
| Medicare PECOS PAC ID | 8325459159 |
|---|---|
| Medicare Enrollment ID | O20201130000259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942800859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Robert Otto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033585609 PECOS PAC ID: 1254649627 Enrollment ID: I20151116000570 |
| Provider Name | Joyce N Njuguna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396164158 PECOS PAC ID: 3476988254 Enrollment ID: I20200124001832 |
| Provider Name | Riaz Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275630717 PECOS PAC ID: 8729077235 Enrollment ID: I20201130000323 |
| Provider Name | Naina Patil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427169390 PECOS PAC ID: 8820021785 Enrollment ID: I20210927000951 |
| Provider Name | Anuli G Eze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760121438 PECOS PAC ID: 2264802446 Enrollment ID: I20230104001540 |
| Provider Name | Loise Wameithi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134810344 PECOS PAC ID: 2062869472 Enrollment ID: I20231107001591 |
| Provider Name | Bethelem Wondimu Bedasso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073397642 PECOS PAC ID: 0941646624 Enrollment ID: I20240316000199 |
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