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Individual

DR. AHMED M MADI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3500 S 4TH ST FL 1, LEAVENWORTH, KS 66048-5043
(913) 787-3063
(913) 839-3303
Mailing address
25123 W 105TH TER, OLATHE, KS 66061-7654
(913) 787-3063
(913) 839-3303

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-31637
KS
207R00000X
Internal Medicine Physician
2006009459
MO

Other

Enumeration date
05/09/2006
Last updated
10/06/2022
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