| Mid America Infectious Disease Consultants Pc | |
|
3215 Main St Ste 100b Kansas City MO 64111-1946 | |
| (816) 561-2433 | |
| (816) 931-8721 |
| Full Name | Mid America Infectious Disease Consultants Pc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 3215 Main St Ste 100b, Kansas City, Missouri |
| Authorized Official Name and Position | Cisco Sherman (OFFICE MANAGER) |
| Authorized Official Contact | 8165618125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid America Infectious Disease Consultants Pc 3215 Main St Ste 100b Kansas City MO 64111-1946 Ph: (816) 561-2433 | Mid America Infectious Disease Consultants Pc 3215 Main St Ste 100b Kansas City MO 64111-1946 Ph: (816) 561-2433 |
| NPI Number | 1528164217 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 07/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528164217 | NPI | - | NPPES |
| 506075704 | Medicaid | MO | |
| 440003964 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 111192 (Missouri) | Primary |
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