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MARIA MEDICAL SERVICES LLC NPI 1497126585


NPI Information

NPI: 1497126585
Provider Name: MARIA MEDICAL SERVICES LLC

Doing Business As: MED-PED CLINIC OF WICHITA

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 17D1028856

Address:
9415 E HARRY ST STE 202
WICHITA, KS
ZIP 67207
Phone: (316) 691-0309
Get Directions

MARIA MEDICAL SERVICES LLC is a family medicine in Wichita, KS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MARIA MEDICAL SERVICES LLC NPI is 1497126585. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Med-ped Clinic Of Wichita.

The provider's business location address is:

9415 E HARRY ST STE 202
WICHITA, KS
ZIP 67207-076
Phone: (316) 691-0309
Fax: (316) 691-0881

The provider's authorized official is Mansoor Tahir .
The authorized official title is Administrator and has the following contact phone number (316) 440-2712.

The CLIA number assigned to this NPI record is 17D1028856 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/14/2015 and was last updated on 10/14/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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