MEDICARE: COMPLETE HEALTH CARE SERVICES PA

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
1	207QG0300X	Geriatric Medicine (Family Medicine) Physician	04-34635	KS

General Provider Information

NPI Number	:	1427350248
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLETE HEALTH CARE SERVICES PA

Provider Business Mailing Address
First Line	:	11111 NALL AVE STE 103
Second Line	:
City	:	LEAWOOD
State	:	KS
Zip	:	66211-1625
Country	:	US
Telephone Number	:	913-322-8859
Fax Number	:

Provider Business Practice Location Address
First Line	:	11111 NALL AVE STE 103
Second Line	:
City	:	LEAWOOD
State	:	KS
Zip	:	66211-1625
Country	:	US
Telephone Number	:	913-322-8859
Fax Number	:	913-499-8597

Authorized Official
Title or Position	:	OWNER
Name	:	MALATHI TADAKAMALLA
Credential	:
Telephone Number	:	913-226-7332

Provider Enumeration Date	:	11/30/2010
Last Update Date	:	04/07/2026

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Practice Location Address:

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Practice Location Address:

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Practice Location Address:

11111 NALL AVE , STE 114
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Practice Location Address:

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1073813036 — DEBORAH ANN MEYER APRN
Practice Location Address:

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Directions to “COMPLETE HEALTH CARE SERVICES PA ” Practice Location

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