Organization
PEDIATRIC ORTHOPAEDIC SURGERY ASS. OF KC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GANESH G. GUPTA MD (PRESIDENT)
(913) 451-0000
Entity
Organization
Contact information
Practice address
5250 W 94TH TERRACE, PAIRIE VILLAGE, KS 66207-2502
(913) 451-0000
(913) 491-0547
Mailing address
5250 W 94TH TERRACE, PRAIRIE VILLAGE, KS 66207-2502
(913) 451-0000
(913) 491-0547
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
04-23261
KS
Other
Enumeration date
05/15/2007
Last updated
03/16/2016
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