Organization
UNITED MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRATIP B PATEL M.D. (TREASURER)
(913) 287-7800
Entity
Organization
Contact information
Practice address
5701 STATE AVE, SUITE 100, KANSAS CITY, KS 66102-1236
(913) 287-7800
(913) 287-1112
Mailing address
5701 STATE AVE, SUITE 100, KANSAS CITY, KS 66102-1236
(913) 287-7800
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110393
BCBS KANSAS GROUP#
KS
01
—
24587019
BCBS KANSAS CITY GROUP #
KS
Enumeration date
05/25/2006
Last updated
08/22/2020
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