| Shawnee Mission Psychiatric Services, Llc | |
|
8340 Mission Rd Ste 210 Prairie Village KS 66206-1362 | |
| (913) 642-0100 | |
| (913) 642-0176 |
| Full Name | Shawnee Mission Psychiatric Services, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8340 Mission Rd Ste 210, Prairie Village, Kansas |
| Authorized Official Name and Position | Umar Wadood (OWNER) |
| Authorized Official Contact | 9136420100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawnee Mission Psychiatric Services, Llc 8340 Mission Rd Ste 210 Prairie Village KS 66206-1362 Ph: (913) 642-0100 | Shawnee Mission Psychiatric Services, Llc 8340 Mission Rd Ste 210 Prairie Village KS 66206-1362 Ph: (913) 642-0100 |
| NPI Number | 1467866954 |
|---|---|
| Provider Enumeration Date | 06/12/2014 |
| Last Update Date | 06/12/2014 |
| Medicare PECOS PAC ID | 7810210218 |
|---|---|
| Medicare Enrollment ID | O20141215002352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467866954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0423898 (Kansas) | Primary |
| Provider Name | Umar Wadood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093878928 PECOS PAC ID: 8022118785 Enrollment ID: I20070710000694 |
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