Individual
DR. SIAMAK HAGHNEGAHDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4101 4TH ST, LEAVENWORTH, KS 66048
(913) 682-2000
Mailing address
17216 WEST 67 STREET, SHAWNEE, KS 66217-9600
(913) 682-2000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101029586
VA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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