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Individual
AL MAMON ABU GHANIMAH
Active
Individual
AL MAMON ABU GHANIMAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
04-37184
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002266
MEDICARE PTAN
KS
05
—
201100090A
—
KS
05
—
30004272600001
—
KS
Enumeration date
09/09/2011
Last updated
12/04/2025
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