Organization
SHAWNEE MISSION INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BENKHADRA (CREDENTIALIER)
(913) 954-8500
Entity
Organization
Contact information
Practice address
11661 COLLEGE BLVD STE 100, OVERLAND PARK, KS 66210-4104
(913) 954-8500
Mailing address
11661 COLLEGE BLVD STE 100, OVERLAND PARK, KS 66210-4104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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