DR.E.T.'S CONCIERGE CARE; NPI #1477914471

Contact Information

DR.E.T.'S CONCIERGE CARE

12140 NALL AVE STE 305
LEAWOOD, KS 66209-2501

Phone: 913-735-3873
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oncology	261QX0200X

Indicates primary specialty

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NPI Profile & details for DR.E.T.'S CONCIERGE CARE

NPI # 1477914471

LBN Legal business name DR.E.T.'S CONCIERGE CARE

Authorized official SUKUMAR ETHIRAJAN - (PHYSICIAN)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/18/2016

Last updated 03/18/2016 - About 10 years ago

Identifiers

License #

0424799

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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