| Blue Valley Endocrinology, P.a. | |
|
10000 College Blvd Overland Park KS 66210-1435 | |
| (913) 258-5055 | |
| (913) 258-5057 |
| Full Name | Blue Valley Endocrinology, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 10000 College Blvd, Overland Park, Kansas |
| Authorized Official Name and Position | Mini Abraham (OWNER) |
| Authorized Official Contact | 9132585055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Valley Endocrinology, P.a. 10000 College Blvd Overland Park KS 66210-1435 Ph: () - | Blue Valley Endocrinology, P.a. 10000 College Blvd Overland Park KS 66210-1435 Ph: (913) 258-5055 |
| NPI Number | 1699342147 |
|---|---|
| Provider Enumeration Date | 06/04/2021 |
| Last Update Date | 06/10/2021 |
| Medicare PECOS PAC ID | 3779983713 |
|---|---|
| Medicare Enrollment ID | O20210614002202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699342147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Mini Rajan Abraham |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023002565 PECOS PAC ID: 9537181565 Enrollment ID: I20090617000768 |
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