Libertas Corp.

NPI #1659822864 in Wichita, Kansas

Provider Information

NPI Number: 1659822864
Entity Type: Organization
Organization Name: Libertas Corp.
Primary Specialty: Internal Medicine
Enumeration Date: Oct 24, 2016
Last Updated: Dec 29, 2016

Practice Location

Address: 4723 E DOUGLAS AVE
City: Wichita
State: Kansas
ZIP Code: 67218-1012
Phone: (800) 924-8140

Authorized Official

Name: DR. ELISHA YAGHMAI, MD
Title: PRESIDENT
Phone: (800) 924-8140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Pediatrics	208000000X
Hospitalist	208M00000X
Internal Medicine	207R00000X	Primary

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