Individual
ALLAN M EISENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
22433
KS
207W00000X
Ophthalmology Physician
Primary
44326
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100198520B
—
KS
01
—
119954
COVENTRY
KS
01
—
13883
PHS
KS
05
—
196320901
—
TX
01
—
205163
HPK
KS
01
—
53746872
MULTIPLAN
KS
01
—
650862
BCBS
KS
Enumeration date
06/30/2006
Last updated
11/18/2013
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