MEDICARE: INTERNAL MEDICINE PHYSICIANS, INC

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	R8746	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	07460018	OTHER	MO	BC AND BS OF KANSAS CITY
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740233766
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERNAL MEDICINE PHYSICIANS, INC

Provider Business Mailing Address
First Line	:	4240 BLUE RIDGE BLVD
Second Line	:	SUITE 725
City	:	KANSAS CITY
State	:	MO
Zip	:	64133-1713
Country	:	US
Telephone Number	:	816-737-3800
Fax Number	:	816-737-5636

Provider Business Practice Location Address
First Line	:	4240 BLUE RIDGE BLVD
Second Line	:	SUITE 725
City	:	KANSAS CITY
State	:	MO
Zip	:	64133-1713
Country	:	US
Telephone Number	:	816-737-3800
Fax Number	:	816-737-5636

Authorized Official
Title or Position	:	CORPORATION PRESIDENT
Name	:	DR. RICHARD A MUSICANT
Credential	:	D.O.
Telephone Number	:	816-737-3800

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	07/20/2007

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