Individual
MR. BADAR MUMTAZ HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 HOLMES STREET, KANSAS CITY, MO 64108-2640
(816) 404-4175
(816) 404-9480
Mailing address
2301 HOLMES STREET, KANSAS CITY, MO 64108-2640
(816) 404-4175
(816) 404-9480
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2015015643
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2015
Last updated
12/04/2015
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