Metro Infectious Disease Consultants, Llc | |
4601 W 109th St Ste 100 Overland Park KS 66211-1313 | |
(913) 942-0540 | |
(630) 528-9589 |
Full Name | Metro Infectious Disease Consultants, Llc |
---|---|
Speciality | Internal Medicine - Infectious Disease |
Location | 4601 W 109th St Ste 100, Overland Park, Kansas |
Authorized Official Name and Position | Russell M Petrak (MANAGING PARTNER) |
Authorized Official Contact | 8882206432 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Metro Infectious Disease Consultants, Llc 901 Mcclintock Dr Ste 202 Burr Ridge IL 60527-0872 Ph: (630) 220-6432 | Metro Infectious Disease Consultants, Llc 4601 W 109th St Ste 100 Overland Park KS 66211-1313 Ph: (913) 942-0540 |
NPI Number | 1427619386 |
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Provider Enumeration Date | 06/21/2019 |
Last Update Date | 06/21/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427619386 | NPI | - | NPPES |
201170330A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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