MEDICARE: METROPOLITAN INTERNAL MEDICINE, 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
1	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	19089036	OTHER	KS	BCBS OF KANSAS

General Provider Information

NPI Number	:	1881622546
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METROPOLITAN INTERNAL MEDICINE, LLC

Provider Business Mailing Address
First Line	:	155 S 18TH ST
Second Line	:	SUITE 213
City	:	KANSAS CITY
State	:	KS
Zip	:	66102-5642
Country	:	US
Telephone Number	:	913-342-4211
Fax Number	:

Provider Business Practice Location Address
First Line	:	155 S 18TH ST
Second Line	:	SUITE 213
City	:	KANSAS CITY
State	:	KS
Zip	:	66102-5642
Country	:	US
Telephone Number	:	913-342-4211
Fax Number	:

Authorized Official
Title or Position	:	VP
Name	:	ROBERT ENGLAND
Credential	:
Telephone Number	:	913-342-4211

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	08/22/2020

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