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NPI Code Detail

MEDICARE: TELMEDICINE INFECTIOUS DISEASES LLC

MEDICARE: TELMEDICINE INFECTIOUS DISEASES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0200XInfectious Disease Physician

General Provider Information

NPI Number : 1043985013
Entity Type Code : Organization
Provider Name (Legal Business Name) : TELMEDICINE INFECTIOUS DISEASES LLC
Provider Business Mailing Address
First Line : PO BOX 14368
Second Line :
City : LENEXA
State : KS
Zip : 66285-4368
Country : US
Telephone Number : 913-322-8859
Fax Number : 888-778-9471
Provider Business Practice Location Address
First Line : 500 NW 68TH ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64118-2455
Country : US
Telephone Number : 913-322-8859
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JOHN CASCONE
Credential : MD
Telephone Number : 913-322-8859
Provider Enumeration Date : 08/12/2021
Last Update Date : 09/03/2021

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Directions to “TELMEDICINE INFECTIOUS DISEASES LLC ” Practice Location

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