Metro Infectious Disease Consultants, Llc

LBN: Metro Infectious Disease Consultants, Llc
Metro Infectious Disease Consultants, Llc is an health care organization with primary practice located at 4601 W 109Th St Ste 100 , Overland Park KS 66211-1313. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. Metro Infectious Disease Consultants, Llc can be contacted via phone (913) 942-0540, or through Petrak, Russell M via phone (888) 220-6432.

Contact Information

Primary practice address
4601 W 109Th St Ste 100 Overland Park KS 66211-1313
Phone: (913) 942-0540
Fax: (630) 528-9589
Website:
Map and Directions
Authorized official contact:
Name: Petrak, Russell M Doctor of Medicine (MD)
Phone: (888) 220-6432

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X

Profile Details

NPI number 1427619386
LBN Legal business name Metro Infectious Disease Consultants, Llc
DBA Doing business as
Authorized official Petrak, Russell M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2019
Last updated Jun 21st, 2019 - about 6 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 1427619386 NPPES
Kansas MEDICAID 201170330A

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