# MID-AMERICA POLYCLINIC PA

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

## Provider details

- **NPI number:** 1124087861
- **Authorized official:** SRINIVAS NALAMACHU MD (PRESIDENT)
- **Authorized official phone:** (913) 599-2440

## Contact information

- **Practice address:** 7100 COLLEGE BLVD, OVERLAND PARK, KS 66210
- **Practice address phone:** (913) 599-2440
- **Practice address fax:** (913) 599-5252
- **Mailing address:** 7100 COLLEGE BLVD, OVERLAND PARK, KS 66210
- **Mailing address phone:** (913) 599-2440
- **Mailing address fax:** (913) 599-5252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2006
- **Last updated:** 02/11/2019