| Midwest Medical Group, Llc | |
|
11227 Lakeview Ave Lenexa KS 66219-1399 | |
| (913) 730-1100 | |
| (913) 730-1101 |
| Full Name | Midwest Medical Group, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11227 Lakeview Ave, Lenexa, Kansas |
| Authorized Official Name and Position | Mona Sabet Edalati (ADMINISTRATOR) |
| Authorized Official Contact | 9134061292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Medical Group, Llc 15418 Iron Horse Cir Leawood KS 66224-3852 Ph: (913) 406-1292 | Midwest Medical Group, Llc 11227 Lakeview Ave Lenexa KS 66219-1399 Ph: (913) 730-1100 |
| NPI Number | 1861701575 |
|---|---|
| Provider Enumeration Date | 09/29/2010 |
| Last Update Date | 07/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861701575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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