# DR.E.T.'S CONCIERGE CARE

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

## Provider details

- **NPI number:** 1477914471
- **Authorized official:** DR. SUKUMAR ETHIRAJAN MD (PHYSICIAN)
- **Authorized official phone:** (913) 735-3873

## Contact information

- **Practice address:** 12140 NALL AVE STE 305, LEAWOOD, KS 66209-2501
- **Practice address phone:** (913) 735-3873
- **Mailing address:** 12140 NALL AVE STE 305, LEAWOOD, KS 66209-2501
- **Mailing address phone:** (913) 735-3873

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0200X | Oncology Clinic/Center | 0424799 | KS | Yes |

## Other

- **Enumeration date:** 03/18/2016
- **Last updated:** 03/18/2016