Provider Demographics
NPI:1790657435
Name:KANSAS REGENCARES MEDICAL CENTER LLC
Entity type:Organization
Organization Name:KANSAS REGENCARES MEDICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SALEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAHZAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-250-4326
Mailing Address - Street 1:12701 METCALF AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-2831
Mailing Address - Country:US
Mailing Address - Phone:913-250-4326
Mailing Address - Fax:
Practice Address - Street 1:12701 METCALF AVE STE 201
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-2831
Practice Address - Country:US
Practice Address - Phone:913-250-4326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty