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Organization

LIVEACTIVE MULTISPECIALTY PHYSICIAN GROUP LLC

Active
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Organization

LIVEACTIVE MULTISPECIALTY PHYSICIAN GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HASEEB AHMED DO (OWNER)
(913) 549-3884
Entity
Organization

Contact information

Practice address
6650 W 110TH STREET, SUITE 220A, OVERLAND PARK, KS 66211
(913) 549-3884
(913) 273-3343
Mailing address
7111 W 151ST ST STE 303, OVERLAND PARK, KS 66223-2231
(913) 549-3884
(913) 273-3343

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207RC0000X
Cardiovascular Disease Physician

Other

Enumeration date
06/28/2022
Last updated
06/28/2022
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