Al-Ahdab, Mohamad Khaled

Al-Ahdab, Mohamad Khaled is an individual health care provider with primary practice located at 7015 E. Central Suite 2, Wichita KS 67206-1946. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Al-Ahdab, Mohamad Khaled can be contacted via phone (316) 440-8800.

Contact Information

Primary practice address
7015 E. Central Suite 2 Wichita KS 67206-1946
Phone: (316) 440-8800
Fax: (316) 440-8802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 036105004 Illinois
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 04-32074 Kansas

Profile Details

NPI number 1336172014
LBN Legal business name Al-Ahdab, Mohamad Khaled
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Apr 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336172014 NPPES
Kansas Other KS1949 PTAN
Kansas MEDICAID 200096860B PTAN
Kansas MEDICAID 200414260C PTAN

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