| Endocrine Center Of Kansas, Llc | |
|
9300 E 29th St N Ste 204 Wichita KS 67226-2183 | |
| (316) 500-6000 | |
| (316) 444-0409 |
| Full Name | Endocrine Center Of Kansas, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9300 E 29th St N Ste 204, Wichita, Kansas |
| Authorized Official Name and Position | Rami Mortada (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3165187737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrine Center Of Kansas, Llc 9300 E 29th St N Ste 204 Wichita KS 67226-2183 Ph: (316) 500-6000 | Endocrine Center Of Kansas, Llc 9300 E 29th St N Ste 204 Wichita KS 67226-2183 Ph: (316) 500-6000 |
| NPI Number | 1093245979 |
|---|---|
| Provider Enumeration Date | 06/14/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 0941571327 |
|---|---|
| Medicare Enrollment ID | O20170803000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093245979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 04-35481 (Kansas) | Primary |
| Provider Name | Rami A Mortada |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174720205 PECOS PAC ID: 1052445319 Enrollment ID: I20120618000677 |
| Provider Name | Amanda E Ast |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1255834735 PECOS PAC ID: 7214299353 Enrollment ID: I20180329001270 |
| Provider Name | Mimi L Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396497905 PECOS PAC ID: 8729463674 Enrollment ID: I20220914000788 |
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