Individual
DR. AHMED ELAGAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
345 N RIVERVIEW ST STE 600, WICHITA, KS 67203-4265
(316) 616-6169
(316) 616-6161
Mailing address
3226 S HANDLEY ST, WICHITA, KS 67217-3359
(316) 665-2106
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001480
SUDANESE MEDICAL BOARD
—
Enumeration date
11/11/2017
Last updated
11/11/2017
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