Individual
DR. ALY A GADALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1861 N ROCK RD STE 100, WICHITA, KS 67206-1264
(316) 462-1070
(316) 462-1078
Mailing address
1861 N ROCK RD STE 100, WICHITA, KS 67206-1264
(316) 462-1070
(316) 462-1078
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0429832
KS
207R00000X
Internal Medicine Physician
Primary
04-29832
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100640650S
—
KS
Enumeration date
01/12/2006
Last updated
04/01/2024
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