Organization
MIDWEST MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONA SABET EDALATI MBA (ADMINISTRATOR)
(913) 406-1292
Entity
Organization
Contact information
Practice address
11227 LAKEVIEW AVE, LENEXA, KS 66219-1399
(913) 730-1100
(913) 730-1101
Mailing address
15418 IRON HORSE CIR, LEAWOOD, KS 66224-3852
(913) 406-1292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/29/2010
Last updated
07/30/2013
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