Individual
HUSSEIN MUSTAPHA MALISAWA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TRANSPORT PROVIDER
Contact information
Practice address
16730 W 127TH ST, OLATHE, KS 66062-1418
(913) 353-2022
Mailing address
16730 W 127TH ST, OLATHE, KS 66062-1418
(913) 353-2022
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
K01395704
KS
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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