# ENDOCRINE CENTER OF KANSAS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093245979
- **Authorized official:** DR. RAMI MORTADA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (316) 518-7737

## Contact information

- **Practice address:** 9300 E 29TH ST N STE 204, WICHITA, KS 67226-2183
- **Practice address phone:** (316) 500-6000
- **Practice address fax:** (316) 444-0409
- **Mailing address:** 9300 E 29TH ST N STE 204, WICHITA, KS 67226-2183
- **Mailing address phone:** (316) 500-6000
- **Mailing address fax:** (316) 444-0409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 04-35481 | KS | Yes |

## Other

- **Enumeration date:** 06/14/2017
- **Last updated:** 07/21/2022