| Saradih Healthcare Services, Llc | |
|
5401 College Blvd Ste 110 Leawood KS 66211-1619 | |
| (913) 553-0945 | |
| (913) 701-3323 |
| Full Name | Saradih Healthcare Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5401 College Blvd Ste 110, Leawood, Kansas |
| Authorized Official Name and Position | Waddah Y Ghosheh (BUSINESS MANAGER) |
| Authorized Official Contact | 9136343540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saradih Healthcare Services, Llc 9744 Sunset Cir Lenexa KS 66220-3726 Ph: (913) 742-3363 | Saradih Healthcare Services, Llc 5401 College Blvd Ste 110 Leawood KS 66211-1619 Ph: (913) 553-0945 |
| NPI Number | 1982827523 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 11/15/2018 |
| Medicare PECOS PAC ID | 6002914173 |
|---|---|
| Medicare Enrollment ID | O20070613000506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982827523 | NPI | - | NPPES |
| 100337170G | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Hassan M Saradih |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538252622 PECOS PAC ID: 5698726941 Enrollment ID: I20051028000593 |
| Provider Name | Lydia K Dennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649974486 PECOS PAC ID: 3072973635 Enrollment ID: I20230714002021 |
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