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 - Geriatric Medicine |
Location | 11111 Nall Ave Ste 103, Leawood, Kansas |
Authorized Official Name and Position | Malathi Tadakamalla (OWNER) |
Authorized Official Contact | 9132267332 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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 |
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Provider Enumeration Date | 11/30/2010 |
Last Update Date | 05/15/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427350248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | 04-34635 (Kansas) | Primary |
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