Healthcare Provider Details

I. General information

NPI: 1699100917
Provider Name (Legal Business Name): KANSAS INSTITUTE OF MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2013
Last Update Date: 06/04/2022
Certification Date: 06/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10951 LAKEVIEW AVE
LENEXA KS
66219-1331
US

IV. Provider business mailing address

11227 LAKEVIEW AVE
LENEXA KS
66219-1399
US

V. Phone/Fax

Practice location:
  • Phone: 913-322-7401
  • Fax:
Mailing address:
  • Phone: 913-730-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PARAMJEET SABHARWAL
Title or Position: CEO
Credential: M.D.
Phone: 913-322-7401