Organization
LIVEACTIVE PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASEEB A AHMED DO (SOLE OWNER)
(913) 549-3884
Entity
Organization
Contact information
Practice address
6650 W 110TH ST STE 220, OVERLAND PARK, KS 66211-1501
(913) 549-3884
Mailing address
7111 W 151ST ST STE 303, OVERLAND PARK, KS 66223-2231
(913) 549-3884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
05/04/2016
Last updated
11/17/2021
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