Organization
MED PED CLINIC OF WICHITA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALEEM SHAHZAD MD (PRESIDENT)
(316) 691-0309
Entity
Organization
Contact information
Practice address
9415 E HARRY ST, SUITE 202, WICHITA, KS 67207-5089
(316) 691-0309
(316) 691-0881
Mailing address
9415 E HARRY ST, SUITE 202, WICHITA, KS 67207-5089
(316) 691-0309
(316) 691-0881
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0429468
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100410020H
—
KS
Enumeration date
09/07/2006
Last updated
04/03/2014
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