Individual
AHMAD QADDOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9300 E 29TH ST N, SUITE 310, WICHITA, KS 67226-2182
(316) 858-9000
(316) 858-9005
Mailing address
9300 E 29TH ST N, SUITE 310, WICHITA, KS 67226-2182
(316) 858-9000
(316) 858-9005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-36484
KS
207RC0000X
Cardiovascular Disease Physician
Primary
04-36484
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201103480A
—
KS
Enumeration date
10/31/2012
Last updated
03/02/2015
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