| Complete Health Care Services Pa | |
|
11111 Nall Ave Ste 103 Leawood KS 66211-1625 | |
| (913) 322-8859 | |
| (913) 499-8597 |
| Full Name | Complete Health Care Services Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 11111 Nall Ave Ste 103, Leawood, Kansas |
| Authorized Official Name and Position | Malathi Tadakamalla (OWNER) |
| Authorized Official Contact | 9132267332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Health Care Services Pa Po Box 219209 Kansas City MO 64121-9209 Ph: (913) 322-8859 | Complete Health Care Services Pa 11111 Nall Ave Ste 103 Leawood KS 66211-1625 Ph: (913) 322-8859 |
| NPI Number | 1427350248 |
|---|---|
| Provider Enumeration Date | 11/30/2010 |
| Last Update Date | 05/15/2023 |
| Medicare PECOS PAC ID | 7012199326 |
|---|---|
| Medicare Enrollment ID | O20110308000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427350248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 04-34635 (Kansas) | Primary |
| Provider Name | Srinath Tadakamalla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184691305 PECOS PAC ID: 8921094624 Enrollment ID: I20051130000558 |
| Provider Name | Malathi Tadakamalla |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1316989197 PECOS PAC ID: 4880730688 Enrollment ID: I20091008000387 |
| Provider Name | Deborah A Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073813036 PECOS PAC ID: 6507054772 Enrollment ID: I20110113000868 |
| Provider Name | Samuel W Muchiri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386198406 PECOS PAC ID: 6709170798 Enrollment ID: I20160815001598 |
| Provider Name | Olga Kulbatskaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861983157 PECOS PAC ID: 1850647173 Enrollment ID: I20180628002678 |
| Provider Name | Nasir Gebi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861968612 PECOS PAC ID: 9537404868 Enrollment ID: I20181214001225 |
| Provider Name | Kourtney Halford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114407525 PECOS PAC ID: 2860738549 Enrollment ID: I20190117000753 |
| Provider Name | Eleanor Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093347221 PECOS PAC ID: 1456789619 Enrollment ID: I20200322000179 |
| Provider Name | Chelse Morgan Beck-vannatter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801401740 PECOS PAC ID: 5092135806 Enrollment ID: I20201016001165 |
| Provider Name | Peter Samoei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487241527 PECOS PAC ID: 6507279791 Enrollment ID: I20210107001198 |
| Provider Name | Kelsey Euwer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538830732 PECOS PAC ID: 0547528259 Enrollment ID: I20211027001238 |
| Provider Name | Jessica N Malcolm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922752468 PECOS PAC ID: 4880087782 Enrollment ID: I20220216001365 |
| Provider Name | Dakota Bain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932965738 PECOS PAC ID: 7315484631 Enrollment ID: I20240805002582 |
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Paul Roman Hura Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11111 Nall Ave Ste 103, Leawood, KS 66211 Phone: 913-322-8859 Fax: 888-778-9471 | |
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Primary Care Plus Of Leawood Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4900 W 135th St, Suite 190a, Leawood, KS 66224 Phone: 913-428-8000 Fax: 913-428-8001 |