Organization
DR.E.T.'S CONCIERGE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUKUMAR ETHIRAJAN MD (PHYSICIAN)
(913) 735-3873
Entity
Organization
Contact information
Practice address
12140 NALL AVE STE 305, LEAWOOD, KS 66209-2501
(913) 735-3873
Mailing address
12140 NALL AVE STE 305, LEAWOOD, KS 66209-2501
(913) 735-3873
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
0424799
KS
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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