Individual
ALI SEAN JAHANSOOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 293-2665
Mailing address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 293-2665
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-40162
KS
207R00000X
Internal Medicine Physician
Primary
94-08422
KS
Other
Enumeration date
06/30/2014
Last updated
04/21/2023
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