Healthcare Provider Details

I. General information

NPI: 1205742319
Provider Name (Legal Business Name): MEDIWAY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6743 W 135TH ST APT 342
OVERLAND PARK KS
66223-8034
US

IV. Provider business mailing address

6743 W 135TH ST APT 342
OVERLAND PARK KS
66223-8034
US

V. Phone/Fax

Practice location:
  • Phone: 512-410-7658
  • Fax:
Mailing address:
  • Phone: 512-410-7658
  • Fax: 512-410-7658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: SEERAT IMTIAZ
Title or Position: CEO
Credential:
Phone: 51-241-0765