Organization
NTTR MEDICAL LLC
Active
Other names
NELOPHER MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WADDAH Y GHOSHEH (PRACTICE MANAGER)
(913) 634-3540
Entity
Organization
Contact information
Practice address
14433 W 86TH TER, LENEXA, KS 66215-4178
(913) 634-3540
(913) 825-6358
Mailing address
9506 W 149TH TER, OVERLAND PARK, KS 66221-8202
(913) 302-5188
(913) 825-6358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0431411
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023159522
INDIVIDUAL NPI
KS
Enumeration date
03/09/2016
Last updated
03/09/2016
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