Healthcare Provider Details

I. General information

NPI: 1134604036
Provider Name (Legal Business Name): HEALTH CARE AND INFORMATICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2018
Last Update Date: 09/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9393 W 110TH ST STE 500
OVERLAND PARK KS
66210-1464
US

IV. Provider business mailing address

7834 W 155TH TER
OVERLAND PARK KS
66223-3082
US

V. Phone/Fax

Practice location:
  • Phone: 702-413-3208
  • Fax:
Mailing address:
  • Phone: 702-413-3208
  • Fax: 702-413-3208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QG0250X
TaxonomyGenetics Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: AHMED MAHER
Title or Position: PRESIDENT
Credential: MD
Phone: 702-413-3208