Individual
OUSAMA MASANNAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD, MS 1045, KANSAS CITY, KS 66160-0001
(913) 588-1897
(916) 588-7583
Mailing address
6618 W 78TH TER, OVERLAND PARK, KS 66204-3117
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
6702
KS
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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