Organization
DR ETS CONCIERGE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUKUMAR ETHIRAJAN MD (PHYSICIAN)
(913) 735-3873
Entity
Organization
Contact information
Practice address
12140 NALL AVE, SUITE 305, OVERLAND PARK, KS 66209-2503
(913) 735-3873
(913) 948-6490
Mailing address
12140 NALL AVE, SUITE 305, OVERLAND PARK, KS 66209-2503
(913) 735-3873
(913) 948-6490
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0424799
KS
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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