| United Medical Group, Llc | |
|
5701 State Ave Suite 100 Kansas City KS 66102-1236 | |
| (913) 287-7800 | |
| (913) 287-1112 |
| Full Name | United Medical Group, Llc |
|---|---|
| Speciality | General Practice |
| Location | 5701 State Ave, Kansas City, Kansas |
| Authorized Official Name and Position | Pratip B Patel (TREASURER) |
| Authorized Official Contact | 9132877800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Medical Group, Llc 5701 State Ave Suite 100 Kansas City KS 66102-1236 Ph: (913) 287-7800 | United Medical Group, Llc 5701 State Ave Suite 100 Kansas City KS 66102-1236 Ph: (913) 287-7800 |
| NPI Number | 1255387866 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9830085950 |
|---|---|
| Medicare Enrollment ID | O20040622001547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255387866 | NPI | - | NPPES |
| 24587019 | Other | KS | BCBS KANSAS CITY GROUP # |
| 110393 | Other | KS | BCBS KANSAS GROUP# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Shashank B Radadiya |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1306887161 PECOS PAC ID: 9032113402 Enrollment ID: I20060828000333 |
| Provider Name | Michael Harwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407962236 PECOS PAC ID: 7214094374 Enrollment ID: I20100730000803 |
| Provider Name | Pratip Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891801692 PECOS PAC ID: 9931095064 Enrollment ID: I20100813000973 |
| Provider Name | Vinaya Koduri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043326887 PECOS PAC ID: 0941367007 Enrollment ID: I20110324000401 |
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