Organization
NORTHEAST KANSAS GI CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVASA RAO G. VASA M.D. (OWNER)
(913) 220-5193
Entity
Organization
Contact information
Practice address
3601 S 4TH ST, SUITE 5, LEAVENWORTH, KS 66048-5015
(913) 220-5193
(913) 814-9989
Mailing address
3601 S 4TH ST, SUITE 5, LEAVENWORTH, KS 66048-5015
(913) 220-5193
(913) 814-9989
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
04-27796
KS
Other
Enumeration date
06/11/2006
Last updated
03/26/2014
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