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Organization
AHMED ABOUL-MAGD PC
Active
Organization
AHMED ABOUL-MAGD PC
Active
Other names
Joplin Nephrology Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED SAMEH ABOUL-MAGD M.D. (PRESIDENT)
(417) 782-5000
Entity
Organization
Contact information
Practice address
522 W 32ND ST STE 1, JOPLIN, MO 64804-2533
(417) 782-5000
Mailing address
522 W 32ND ST STE 1, JOPLIN, MO 64804-2533
(417) 782-5000
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000111075
BLUE CROSS BLUE SHIELD
KS
05
—
200049590A
—
OK
05
—
200303400A
—
KS
05
—
506197508
—
MO
01
—
DC4777
RAILROAD MEDICARE
—
Enumeration date
07/29/2006
Last updated
02/11/2014
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