| Sivakoti R Katta, Llc | |
|
8919 Parallel Pkwy Ste 215 Kansas City KS 66112-1655 | |
| (913) 499-8091 | |
| (913) 499-7440 |
| Full Name | Sivakoti R Katta, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8919 Parallel Pkwy Ste 215, Kansas City, Kansas |
| Authorized Official Name and Position | Sivakoti Katta (PHYSICIAN) |
| Authorized Official Contact | 9134998091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sivakoti R Katta, Llc 8919 Parallel Pkwy Ste 215 Kansas City KS 66112-1682 Ph: (913) 499-8091 | Sivakoti R Katta, Llc 8919 Parallel Pkwy Ste 215 Kansas City KS 66112-1655 Ph: (913) 499-8091 |
| NPI Number | 1457867905 |
|---|---|
| Provider Enumeration Date | 12/20/2017 |
| Last Update Date | 12/07/2023 |
| Medicare PECOS PAC ID | 0547522211 |
|---|---|
| Medicare Enrollment ID | O20180315002265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457867905 | NPI | - | NPPES |
| 100206070B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Primary |
| Provider Name | Sivakoti R Katta |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1558474486 PECOS PAC ID: 6800925843 Enrollment ID: I20100528000687 |
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