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NPI Code Detail

MEDICARE: SOUTHWEST KANSAS CARDIOLOGY, LLC

MEDICARE: SOUTHWEST KANSAS CARDIOLOGY, 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
1207RC0000XCardiovascular Disease Physician

General Provider Information

NPI Number : 1639137870
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHWEST KANSAS CARDIOLOGY, LLC
Provider Business Mailing Address
First Line : 100 W ROSS BLVD STE 2B
Second Line :
City : DODGE CITY
State : KS
Zip : 67801-7217
Country : US
Telephone Number : 620-225-3900
Fax Number : 866-835-2311
Provider Business Practice Location Address
First Line : 100 W ROSS BLVD STE 2B
Second Line :
City : DODGE CITY
State : KS
Zip : 67801-7217
Country : US
Telephone Number : 620-225-3900
Fax Number : 620-225-3901
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : MUHAMMAD A KHAN
Credential : M.D.
Telephone Number : 620-225-3900
Provider Enumeration Date : 05/03/2006
Last Update Date : 12/05/2025

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Directions to “SOUTHWEST KANSAS CARDIOLOGY, LLC ” Practice Location

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