Organization
HEARTLAND PSYCHIATRIC MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGIO M ZADERENKO M.D. (PSYCHIATRIST)
(913) 642-0100
Entity
Organization
Contact information
Practice address
8340 MISSION RD, SUITE 210, PRAIRIE VILLAGE, KS 66206-1355
(913) 642-0100
(913) 642-0176
Mailing address
8340 MISSION RD, SUITE 210, PRAIRIE VILLAGE, KS 66206-1355
(913) 642-0100
(913) 642-0176
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0423954
KS
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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