Organization
MIACARE MEDICAL SERVICES, LLC
Active
Other names
Pulse Heart and Vascular Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAZEN H. SHAHEEN M.D. (PRESIDENT)
(316) 554-4888
Entity
Organization
Contact information
Practice address
3161 N ROCK RD, SUITE A, WICHITA, KS 67226-1452
(316) 554-4888
(316) 440-2713
Mailing address
3161 N ROCK RD, SUITE A, WICHITA, KS 67226-1452
(316) 554-4888
(316) 440-2713
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
KS
207RI0011X
Interventional Cardiology Physician
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KS
Enumeration date
08/17/2016
Last updated
08/17/2016
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