Organization
MID AMERICA CARDIAC CONSULTANTS P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME MELEAN M.D. (PRESIDENT)
(316) 688-0321
Entity
Organization
Contact information
Practice address
1431 BLUFFVIEW ST, SUITE 112, WICHITA, KS 67218-3039
(316) 688-0321
(316) 688-0728
Mailing address
1431 BLUFFVIEW ST, SUITE 112, WICHITA, KS 67218-3039
(316) 688-0321
(316) 688-0728
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003961
BCBS PROVER
KS
Enumeration date
01/04/2007
Last updated
08/22/2020
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