Concierge Medicine of Wichita LLC

NPI #1326399205 in Wichita, Kansas

Provider Information

NPI Number: 1326399205
Entity Type: Organization
Organization Name: Concierge Medicine of Wichita LLC
Primary Specialty: Internal Medicine
Enumeration Date: Oct 2, 2012
Last Updated: Nov 9, 2012

Practice Location

Address: 9449 E 21ST ST N
Address 2: STE. 200
City: Wichita
State: Kansas
ZIP Code: 67206-2969
Phone: (316) 462-1070

Authorized Official

Name: DR. ALY A GADALLA, MD
Title: OWNER
Phone: (316) 462-1070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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