Midwest Medical Group, LLC

NPI #1861701575 in Lenexa, Kansas

Provider Information

NPI Number: 1861701575
Entity Type: Organization
Organization Name: Midwest Medical Group, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 29, 2010
Last Updated: Jul 30, 2013

Practice Location

Address: 11227 LAKEVIEW AVE
City: Lenexa
State: Kansas
ZIP Code: 66219-1399
Phone: (913) 730-1100

Authorized Official

Name: MRS. MONA SABET EDALATI, MBA
Title: ADMINISTRATOR
Phone: (913) 406-1292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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