| Kc Infectious Disease Consultants Llc | |
|
7255 Renner Rd Shawnee KS 66217-3043 | |
| (913) 631-0405 | |
| (844) 327-7237 |
| Full Name | Kc Infectious Disease Consultants Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7255 Renner Rd, Shawnee, Kansas |
| Authorized Official Name and Position | Samir Desai (MD / PARTNER) |
| Authorized Official Contact | 9136310504 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kc Infectious Disease Consultants Llc 7255 Renner Rd Shawnee KS 66217-3043 Ph: (913) 631-0405 | Kc Infectious Disease Consultants Llc 7255 Renner Rd Shawnee KS 66217-3043 Ph: (913) 631-0405 |
| NPI Number | 1710375175 |
|---|---|
| Provider Enumeration Date | 01/07/2015 |
| Last Update Date | 07/07/2015 |
| Medicare PECOS PAC ID | 1658697610 |
|---|---|
| Medicare Enrollment ID | O20150310001279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710375175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 0424938 (Kansas) | Primary |
| 207RI0200X | Internal Medicine - Infectious Disease | 0427706 (Kansas) | Secondary |
| Provider Name | Samir Rajendra Desai |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952417644 PECOS PAC ID: 1153394481 Enrollment ID: I20041007000433 |
| Provider Name | Glenn A Mackay |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356457006 PECOS PAC ID: 9032131073 Enrollment ID: I20051219000864 |
| Provider Name | Himal B Bajracharya |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699878504 PECOS PAC ID: 6709884695 Enrollment ID: I20061201000545 |
| Provider Name | Arundhati S Desai |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982642476 PECOS PAC ID: 0042472532 Enrollment ID: I20170911000435 |
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