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Organization

MARIA JAVAID MD AN OPERATING DIVISION OF PROVIDENCE MEDICAL CTR

Active
Parent organization
PROVIDENCE MEDICAL CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
PROVIDENCE MEDICAL CENTER
Authorized official
MR. MICHAEL A DORSEY MD (CEO)
(913) 596-4000
Entity
Organization

Contact information

Practice address
712 1ST TER, SUITE C, LANSING, KS 66043-1735
(913) 682-6950
(913) 682-8523
Mailing address
PO BOX 12143, KANSAS CITY, KS 66112-0143
(913) 596-6512
(913) 328-7011

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary

Other

Enumeration date
05/02/2008
Last updated
05/02/2008
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