Organization
NORTHEAST KANSAS GI CONSULTANTS PA
Active
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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