| Boulevard Internal Medicine | |
|
5701 W 110th St Overland Park KS 66211-2503 | |
| (913) 491-2400 | |
| Not Available |
| Full Name | Boulevard Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 5701 W 110th St, Overland Park, Kansas |
| Authorized Official Name and Position | Neal J Sherman (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9132488990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulevard Internal Medicine Po Box 8371 Prairie Village KS 66208-0371 Ph: (913) 248-8990 | Boulevard Internal Medicine 5701 W 110th St Overland Park KS 66211-2503 Ph: (913) 491-2400 |
| NPI Number | 1417260522 |
|---|---|
| Provider Enumeration Date | 07/17/2010 |
| Last Update Date | 07/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417260522 | NPI | - | NPPES |
| 100113210B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 04-18169 (Kansas) | Primary |
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