Organization
SUMMIT GERIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHYAM K. AKKULUGARI MD (CEO/SOLE OWNER)
(913) 271-8676
Entity
Organization
Contact information
Practice address
200 NE MISSOURI RD STE 200, LEES SUMMIT, MO 64086-4722
(913) 271-8676
(888) 856-3199
Mailing address
PO BOX 7612, OVERLAND PARK, KS 66207-0612
(913) 271-8676
(888) 856-3199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
08/18/2009
Last updated
12/07/2020
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