| Modern Gastroenterology, Llc | |
|
9393 W 110th St, 51 Corporate Woods Suite 500 Overland Park KS 66210-1464 | |
| (913) 535-0600 | |
| (913) 535-0633 |
| Full Name | Modern Gastroenterology, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9393 W 110th St, 51 Corporate Woods, Overland Park, Kansas |
| Authorized Official Name and Position | Florence Hosseini-aslinia (ADMINISTRATOR, OWNER, PHYSICIAN) |
| Authorized Official Contact | 2098143400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Gastroenterology, Llc 15444 Iron Horse Cir Overland Park KS 66224-3852 Ph: (209) 814-3400 | Modern Gastroenterology, Llc 9393 W 110th St, 51 Corporate Woods Suite 500 Overland Park KS 66210-1464 Ph: (913) 535-0600 |
| NPI Number | 1578321758 |
|---|---|
| Provider Enumeration Date | 03/12/2024 |
| Last Update Date | 07/08/2024 |
| Medicare PECOS PAC ID | 3678913449 |
|---|---|
| Medicare Enrollment ID | O20240426000448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578321758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Florence M Hosseini Aslinia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972611994 PECOS PAC ID: 8729023783 Enrollment ID: I20171213002134 |
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