Individual
MR. MOTAZ ISSAM MAHMOUD AWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, ATTN PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
04-49483
KS
207LP3000X
Pediatric Anesthesiology Physician
Primary
2024028587
MO
Other
Enumeration date
06/10/2014
Last updated
12/05/2025
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