Organization
MIDWEST MEDICAL CONSULTANT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID D EDALATI MD (PRESIDENT)
(913) 884-1055
Entity
Organization
Contact information
Practice address
7011 W 121ST ST, STE 106, OVERLAND PARK, KS 66209-2029
(913) 884-1055
(913) 884-1066
Mailing address
7011 W 121ST ST, STE 106, OVERLAND PARK, KS 66209-2029
(913) 884-1055
(913) 884-1066
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
07/16/2014
Last updated
06/16/2016
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