Organization
WARRENSBURG MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHAVIR SHRIDHARANI MD (PRESIDENT)
(660) 429-2128
Entity
Organization
Contact information
Practice address
514 BURKARTH RD, WARRENSBURG, MO 64093-3104
(913) 248-9693
(913) 248-9383
Mailing address
514 BURKARTH RD, WARRENSBURG, MO 64093-3104
(913) 248-9693
(913) 248-9383
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R1A87
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29181021
BLUE SHIELD KANSAS CITY
MO
Enumeration date
07/26/2006
Last updated
10/05/2007
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