NPI 1003896895

Paul G Diederich, MD

Practitioner Internal Medicine Physician Overland Park, KS

Practice location

Address: 10787 Nall Ave STE. 310, Overland Park, KS 66211-1375
Phone: (913) 945-6900
Fax: (913) 945-6970
Mailing address: 2330 Shawnee Mission Parkway Medical Administrative Services of Ku STE. 312, Westwood, KS 66205-0000

Registered specialties (2)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 04-33478 (KS)

Other Internal Medicine providers in Kansas →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence R9699 (MO)

Registry record

NPI: 1003896895
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jan 2006
Record last updated: 16 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.