Individual
DR. ABDEL-GHANIE HANI ABU-SAMRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9325
(316) 689-9769
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9667
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
04-37311
KS
207RP1001X
Pulmonary Disease Physician
Primary
04-37311
KS
Other
Enumeration date
07/17/2008
Last updated
06/20/2014
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