# UNITED MEDICAL GROUP, LLC

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

## Provider details

- **NPI number:** 1255387866
- **Authorized official:** DR. PRATIP B PATEL M.D. (TREASURER)
- **Authorized official phone:** (913) 287-7800

## Contact information

- **Practice address:** 5701 STATE AVE, SUITE 100, KANSAS CITY, KS 66102-1236
- **Practice address phone:** (913) 287-7800
- **Practice address fax:** (913) 287-1112
- **Mailing address:** 5701 STATE AVE, SUITE 100, KANSAS CITY, KS 66102-1236
- **Mailing address phone:** (913) 287-7800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 110393 | BCBS KANSAS GROUP\# | KS |
| 01 | — | 24587019 | BCBS KANSAS CITY GROUP \# | KS |