Healthcare Provider Details
I. General information
NPI: 1780451393
Provider Name (Legal Business Name): SUNFLOWER WELLNESS SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/05/2023
Last Update Date: 02/27/2024
Certification Date: 02/27/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3711 SW WANAMAKER RD
TOPEKA KS
66610-1368
US
IV. Provider business mailing address
1440 SW 41ST ST
TOPEKA KS
66609-1208
US
V. Phone/Fax
- Phone: 785-228-2346
- Fax: 785-228-2337
- Phone: 913-909-1128
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0100X |
| Taxonomy | Health Service Clinic/Center |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name: DR.
SAMER
AL-MURRANI
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 785-228-2346