Dominador T. Perido Md Pa

LBN: Dominador T. Perido Md Pa
Dominador T. Perido Md Pa is an health care organization with primary practice located at 411 Sunset , Elkhart KS 67950-0997. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Dominador T. Perido Md Pa can be contacted via phone (620) 697-2155, or through Perido, Dominador T. via phone (620) 697-2155.

Contact Information

Primary practice address
411 Sunset Elkhart KS 67950-0997
Phone: (620) 697-2155
Fax: (620) 697-4275
Website:
Map and Directions
Authorized official contact:
Name: Perido, Dominador T. Doctor of Medicine (MD)
Phone: (620) 697-2155

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X KS04-16343 Kansas
Allopathic & Osteopathic Physicians / Surgery 208600000X KS04-16343 Kansas

Profile Details

NPI number 1083725139
LBN Legal business name Dominador T. Perido Md Pa
DBA Doing business as
Authorized official Perido, Dominador T. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 27th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083725139 NPPES
Kansas MEDICAID 100085400A

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