Organization
TOTAL PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARISH PONNURU M.D. (OWNER)
(913) 339-9355
Entity
Organization
Contact information
Practice address
5701 W 119TH ST STE 150, OVERLAND PARK, KS 66209-3750
(913) 339-9355
Mailing address
5701 W 119TH ST STE 150, OVERLAND PARK, KS 66209-3750
(913) 339-9355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
449157
KS
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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