Gadalla, Aly A

Gadalla, Aly A is an sole proprietor health care provider with primary practice located at 1861 N Rock Rd Ste 100 , Wichita KS 67206-1264. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gadalla, Aly A can be contacted via phone (316) 462-1070.

Contact Information

Primary practice address
1861 N Rock Rd Ste 100 Wichita KS 67206-1264
Phone: (316) 462-1070
Fax: (316) 462-1078
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 04-29832 Kansas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0429832 Kansas

Profile Details

NPI number 1083693634
LBN Legal business name Gadalla, Aly A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2006
Last updated Apr 1st, 2024 - about 2 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 1083693634 NPPES
Kansas MEDICAID 100640650S

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