Individual
DR. FADI JAMIL ODEH AL MUHAISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3243 E MURDOCK ST, WICHITA, KS 67208-3052
(316) 500-8900
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
04-39743
KS
2080P0205X
Pediatric Endocrinology Physician
2015011039
MO
Other
Enumeration date
07/13/2011
Last updated
11/25/2025
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