Individual
DR. BASSEM MATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3121 N WEBB RD STE 101, WICHITA, KS 67226-8119
(316) 261-3130
Mailing address
3121 N WEBB RD STE 101, WICHITA, KS 67226-8119
(316) 261-3130
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
04-43110
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2013
Last updated
05/13/2021
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