Individual
ESSAM ELKADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 556-2330
Mailing address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 556-2330
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2007001558
MO
207RP1001X
Pulmonary Disease Physician
2007001558
MO
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
2007001558
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148380034
MEDICARE PTAN
MO
05
—
205457807
—
MO
Enumeration date
09/20/2006
Last updated
04/06/2022
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